101
|
Xin S, Ma X. Mechanisms of Physical Exercise Effects on Anxiety in Older Adults during the COVID-19 Lockdown: An Analysis of the Mediating Role of Psychological Resilience and the Moderating Role of Media Exposure. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3588. [PMID: 36834282 PMCID: PMC9959573 DOI: 10.3390/ijerph20043588] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/28/2023] [Revised: 02/12/2023] [Accepted: 02/16/2023] [Indexed: 06/18/2023]
Abstract
The purpose of this study was to explore the effects of physical exercise on anxiety in older adults during the COVID-19 pandemic lockdown, as well as the mediating role of psychological resilience and the moderating role of media exposure. An online questionnaire was used to survey older adults in Chengdu, Southwest China. A total of 451 older adults aged 60 years and older participated in the study (209 males and 242 females). The results suggest that physical exercise negatively influenced anxiety symptoms in older adults; psychological resilience mediated the effect of physical exercise on anxiety in older adults and negatively predicted it; furthermore, media exposure moderated the effects of physical exercise and psychological resilience on anxiety, and low levels of media exposure strengthened these effects. This study suggests that participation in physical exercise and reduced media exposure during the COVID-19 pandemic lockdown may have reduced anxiety in older adults.
Collapse
Affiliation(s)
- Shuangshuang Xin
- School of Wushu, Chengdu Sport University, Chengdu 610041, China
| | - Xiujie Ma
- School of Wushu, Chengdu Sport University, Chengdu 610041, China
- Chinese Guoshu Academy, Chengdu Sport University, Chengdu 610041, China
| |
Collapse
|
102
|
Park Y, Park K. Health-related quality of life and depressive symptoms of patients with chronic diseases and the general population before and during the COVID-19 pandemic in Korea. Front Psychol 2023; 14:1117369. [PMID: 36844301 PMCID: PMC9946990 DOI: 10.3389/fpsyg.2023.1117369] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Accepted: 01/25/2023] [Indexed: 02/11/2023] Open
Abstract
Objective The unprecedented coronavirus disease 2019 (COVID-19) outbreak has resulted in a global crisis that negatively impacted physical well-being and mental health. Our goal was to investigate the impact of the COVID-19 pandemic on health-related quality of life (HRQoL) and depressive symptoms in patients with chronic diseases and the general population in Korea. Methods Data from 8341 patients with chronic diseases and 12,395 general population aged ≥20 years who participated in the Korea National Health and Nutrition Examination Survey (2017-2020) were analyzed. Patients with hypertension, dyslipidemia, diabetes, cerebrovascular disease (stroke), heart disease (myocardial infarction or angina pectoris), or cancer were classified as patients with chronic diseases. The general population was defined as those not suffering from corresponding chronic diseases. A modified EuroQol-5 Dimensions (EQ-5D), with three levels (0: extreme problems; 0.5: some problems; 1: no problems) for each dimension in EQ-5D, was used to assess HRQoL. To analyze depressive symptoms among patients with chronic diseases and the general population, we used the Patient Health Questionnaire-9 (PHQ-9) and defined a PHQ-9 score ≥ 10 as having a depressive symptom. Multivariate linear and logistic regression analyses were used to analyze HRQoL and depressive symptoms before and during the COVID-19 pandemic. Results The HRQoL level was significantly lower in patients with chronic diseases compared to the general population on all dimensions both before and during the COVID-19 pandemic (all value of p < 0.05). Patients with chronic diseases had significantly lower HRQoL levels associated with the anxiety/depression dimension during the COVID-19 pandemic than in the pre-pandemic period (0.940 ± 0.002 vs. 0.929 ± 0.004, value of p = 0.041). In addition, patients with chronic diseases were more likely to report depressive symptoms during the COVID-19 pandemic than in the pre-pandemic period (Odds ratio (OR): 1.755, 95% confidence interval (CI): 1.209-2.546, value of p = 0.003). However, this association was not observed in the general population (OR: 1.275, 95% CI: 0.933-1.742, value of p = 0.13). Conclusion The COVID-19 pandemic affected the HRQoL and psychological health in patients with chronic diseases with higher anxiety/depression during the pandemic than in the pre-pandemic period. These results suggest that it is urgent to establish continuous management guidelines, including psychosocial management for high-risk groups, and to improve the existing healthcare system.
Collapse
Affiliation(s)
- Yeeun Park
- Department of Food and Nutrition, Yeungnam University, Gyeongsan, Gyeongbuk, Republic of Korea
| | | |
Collapse
|
103
|
Mousoulidou M, Christodoulou A, Siakalli M, Argyrides M. The Role of Conspiracy Theories, Perceived Risk, and Trust in Science on COVID-19 Vaccination Decisiveness: Evidence from Cyprus. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2898. [PMID: 36833595 PMCID: PMC9956964 DOI: 10.3390/ijerph20042898] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Revised: 02/02/2023] [Accepted: 02/04/2023] [Indexed: 06/18/2023]
Abstract
COVID-19 reminded us of the importance of vaccinating for successfully overcoming health-related crises. Yet, vaccine hesitancy is still present. This study examined the impacts of conspiracy theories, perceived risk, and trust in science on COVID-19 vaccination decisiveness. The study was conducted at the end of the third wave of the pandemic, in July 2021, in Cyprus. Data were collected via an online self-administered anonymous survey using convenience and snowball sampling methods. Participants were 363 adults who completed a set of questionnaires that examined their believability in ten vaccine-related conspiracy theories, their perceived dangerousness of COVID-19, and their level of trust in science and scientists. The results suggest that (a) participants with a high conspiracy theory belief are less likely to be vaccinated, (b) participants who perceive COVID-19 as a dangerous disease are more likely to be vaccinated, and (c) participants with high trust in science are more likely to be vaccinated. The implications of the findings are discussed and can be used by public health officials in their campaigns.
Collapse
|
104
|
Keep Moving to Retain the Healthy Self: The Influence of Physical Exercise in Health Anxiety among Chinese Menopausal Women. Behav Sci (Basel) 2023; 13:bs13020140. [PMID: 36829369 PMCID: PMC9952320 DOI: 10.3390/bs13020140] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Revised: 02/04/2023] [Accepted: 02/05/2023] [Indexed: 02/11/2023] Open
Abstract
Menopause is a period of high incidence of chronic diseases. Women experience various physical and psychological discomforts during menopause, and hormonal changes exacerbate mood swings in menopausal women and also cause them to begin to experience excessive worry and anxiety about their health problems. This study was a cross-sectional survey investigating the relationship between physical activity and women's health anxiety. Using cluster sampling, a valid sample of 455 females aged 45-50 was collected from 78 communities in five municipal districts in Changsha, China, and AMOS v.23 was adopted to construct a structural equation model to verify the hypotheses. The results indicate that interpersonal competence and emotional intelligence are negatively associated with health anxiety. Furthermore, interpersonal competence and emotional intelligence mediate the relationship between physical exercise and health anxiety, which means that menopausal women with more physical exercise, higher interpersonal competence, and higher emotional intelligence reported lower health anxiety. Finally, to alleviate menopausal women's health anxiety and reduce their risk of chronic diseases, the government, community, and family should create conditions and opportunities for women to participate in group physical activities.
Collapse
|
105
|
AKSOY SD, ERGİN A, ÖZDEMİR S, BABADAĞLI B. The Effects of the COVID-19 Pandemic on Women's Mental Helath in Turkey and What these Effects Suggest. KOCAELI ÜNIVERSITESI SAĞLIK BILIMLERI DERGISI 2023. [DOI: 10.30934/kusbed.1192075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Objective: The COVID-19 pandemic has deeply affected societies and individuals in all aspects, including mental and physical health. In this study, we aimed to determine the effects of COVID 19 pandemic on anxiety and depression levels and related factors in women.
Methods: As a descriptive cross-sectional study, it was conducted with a total of 728 women between December 2020 and March 2021. Data were collected by Google survey using the descriptive information form, the Coronavirus Anxiety Scale (CAS), and the Hospital Anxiety and Depression Scale (HADS).
Results: Having concerns about own health had a strong effect on coronavirus-related anxiety (p<0.001, η2 = 0.037) and the anxiety dimension of Hospital Anxiety and Depression Scale (HADS) (p<0.001, η2 = 0.098). Marital relationships had a strong effect on HADS depression dimension scores (p<0.001, η2 = 0.067).
Conclusion: The younger women, those who had problematic marital relationship and those who were exposed to domestic violence had higher anxiety and depression scores. Relevant measures should be taken to reduce the concerns of more risky groups, especially women, in the health system and should be considered in future planning on this subject.
Collapse
Affiliation(s)
| | - Ayla ERGİN
- KOCAELI UNIVERSITY, FACULTY OF HEALTH SCIENCES
| | | | | |
Collapse
|
106
|
Halperin O, Ali-Saleh O, Ore L, Jadaon JE. Depression, Stress and the Mediating Role of Intimate Partner Violence (IPV) Among Israeli Women of Childbearing Age in the Shadow of the COVID-19 Pandemic. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:3586-3611. [PMID: 35899767 PMCID: PMC10076180 DOI: 10.1177/08862605221111415] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
Dealing with the outbreak of the new coronavirus has generated unprecedented challenges around the world, including in Israel. Women of childbearing age may be forced to live under particularly difficult circumstances during the pandemic. The current study among Israeli women of childbearing age has three main objectives related to the specific period of the COVID-19 pandemic: to study the prevalence and predictors of intimate partner violence (IPV); to investigate the prevalence and predictors of depression; to examine whether IPV mediates the association between general stress, fear of COVID-19 and depression as an outcome. In a cross-sectional study, 722 married women, Jewish and Arab residents of Israel, were recruited to answer an online self-completion questionnaire during the first wave of the COVID-19 pandemic. The questionnaire included an assessment of their degree of general stress and depression, fear of COVID-19, experiences of IPV and demographic variables. The results of the current study show that a high percentage of women reported IPV (with Muslim women reporting higher IPV than Jewish women), perceived stress (PSS), perceived COVID-19 stress and depression. The findings also show that IPV and its three dimensions mediate the relationship between COVID-19 stress and depression, such that higher stress was related to higher IPV, raising the odds for depression. Moreover, the total scores for IPV and emotional violence were found to mediate the relationship between stress and depression. That is, domestic violence explains part of the association between stress and depression during the COVID-19 pandemic. Indeed, the current pandemic has resulted in an increase in IPV and depression, and especially in the specific stress associated with the disease itself. Based on the findings of the current study, preventing violence will reduce stress-related depression. The Muslim population, and especially those who are more religious, is in particular need of intervention.
Collapse
Affiliation(s)
- Ofra Halperin
- Max Stern Academic College of Emek-Yezreel, Nursing Department, Israel
| | - Ola Ali-Saleh
- Max Stern Academic College of Emek-Yezreel, Nursing Department, Israel
| | - Liora Ore
- Max Stern Academic College of Emek-Yezreel, Nursing Department, Israel
| | - Jimmy E Jadaon
- Nazareth Hospital and the Azrieli Faculty of Medicine, Israel
| |
Collapse
|
107
|
Abstract
BACKGROUND COVID-19 pandemic has affected all crucial aspects of daily life, including; food security, education, gender relation, mental health, and environmental air pollution, in addition to the impact of the lockdown that had far-reaching effects in different strata of life. AIMS To study the impact of COVID-19 on people with respect to their mental and social suffering and consequences. METHODS This cross sectional study was conducted during the period from November 2020 through August 2021. A sample of 1,000 attendants to four teaching hospitals and eight PHCCs, was collected. The mental and social sequels of COVID-19 were assessed for all participants whether previously infected or not. RESULTS Out of the total sample (1,000), 389 had a history of infection with COVID-19. The main mental symptoms reported were depression (67.8%), and anxiety (46.9%), males and females equally reported symptoms of anxiety, while depressive symptoms were reported more among females (59.9%), Fear and worries of the participants about their health and their families' was the main reason for mental symptoms (94.7%). CONCLUSIONS Symptoms of depression and anxiety in time of COVID-19 are prevalent. Suspending educational activities was the most social burden that affect people while increase the price of food and cessation of work were the main causes of economic burden.
Collapse
|
108
|
Cybulska AM, Głębicka K, Stanisławska M, Cymbaluk-Płoska A, Grochans E, Rachubińska K. The Relationship between Social Support and Mental Health Problems of Peri- and Postmenopausal Women during the SARS-CoV-2 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2501. [PMID: 36767869 PMCID: PMC9916386 DOI: 10.3390/ijerph20032501] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 01/06/2023] [Accepted: 01/30/2023] [Indexed: 06/18/2023]
Abstract
The COVID-19 pandemic affects women's mental health, because they are more predisposed to vulnerabilities and adverse impacts. Therefore, is important to find strategies for preventing and treating these mental health consequences in the female population. The main purposes of our study were to determine the level of social support received by peri- and postmenopausal women during the SARS-CoV-2 pandemic, as well as factors related to this level with reference to health status and sociodemographic variables. A total of 218 women in peri- and postmenopausal status participated in the study. The study assessed depression (Beck Depression Inventory), anxiety (the Spielberg State-Trait Anxiety Scale), climacteric symptoms (the Blatt-Kupperman Index), social support (the Inventory of Social Supportive Behaviors). The majority of the respondents had a moderate level of anxiety as a state (40.8%), a low level of anxiety as a trait (51.4%), no depressive symptoms (75.2%) and no climacteric symptoms (52.3%). Age was found to significantly correlate with anxiety as a state (p = 0.036). The anxiety as state was significantly stronger in people with higher education than in people with secondary education (p = 0.019). Professionally inactive women had more emotional (p = 0.05) and appraisal (p = 0.014) support than women who work. The analysis demonstrated no statistically significant correlation between social support and depression, anxiety or climacteric symptoms (p > 0.05). The majority of peri- and postmenopausal women had no depressive symptoms and/or anxiety symptoms. Professionally inactive women had more emotional and appraisal support than women who work. The analysis demonstrated no statistically significant correlation between social support and depression, anxiety or climacteric symptoms.
Collapse
Affiliation(s)
- Anna Maria Cybulska
- Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St., 71-210 Szczecin, Poland
| | - Katarzyna Głębicka
- Department of Psychiatry, Pomeranian Medical University, 71-210 Szczecin, Poland
| | - Marzanna Stanisławska
- Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St., 71-210 Szczecin, Poland
| | - Aneta Cymbaluk-Płoska
- Department of Gynecological Surgery and Gynecological Oncology of Adults and Adolescents, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland
| | - Elżbieta Grochans
- Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St., 71-210 Szczecin, Poland
| | - Kamila Rachubińska
- Department of Nursing, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St., 71-210 Szczecin, Poland
| |
Collapse
|
109
|
Zeitoun T, Plante A, Sabiston CM, Dieudé M, Doré I. The Association between Change in Lifestyle Behaviors and Mental Health Indicators in Immunosuppressed Individuals during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2099. [PMID: 36767466 PMCID: PMC9916248 DOI: 10.3390/ijerph20032099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 01/15/2023] [Accepted: 01/18/2023] [Indexed: 06/18/2023]
Abstract
Little is known on how changes in lifestyle behaviors affect mental health among immunosuppressed individuals who observed stricter physical and social distancing measures due to higher risk of complications during the COVID-19 pandemic. This study examines the association between changes in moderate-to-vigorous physical activity (MVPA), sedentary time (ST) and sleep duration following COVID-19 outbreak on mental health indicators of immunosuppressed individuals and their relatives. Participants (n = 132) completed an online questionnaire between May and August 2020. Linear regressions were conducted to assess the associations between an increase or decrease in lifestyle behaviors and mental health indicators. Individuals with decreased MVPA and increased ST experienced higher distress, anxiety and depressive symptoms. Those who reported an increase or decrease in sleep had higher levels of stress, distress and depressive symptoms. Decreases in sleep was associated with higher anxiety symptoms. Lifestyle behaviors in the context of a stressful life event such as the COVID-19 pandemic may impact mental health indicators of immunosuppressed individuals and their relatives.
Collapse
Affiliation(s)
- Tara Zeitoun
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, ON M5S 1A8, Canada
| | | | - Catherine M. Sabiston
- Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, ON M5S 2W6, Canada
| | - Mélanie Dieudé
- CHUM Research Centre, Montréal, QC H2X 0A9, Canada
- Department of Microbiology, Infectiology and Immunology, Faculty of medicine, Université de Montréal, Montréal, QC H3C 3J7, Canada
- Canadian Donation and Transplant Research Program (CDTRP), Edmonton, AB T6G 2E1, Canada
- Héma-Québec, Montréal, QC H4R 2W7, Canada
| | - Isabelle Doré
- CHUM Research Centre, Montréal, QC H2X 0A9, Canada
- Canadian Donation and Transplant Research Program (CDTRP), Edmonton, AB T6G 2E1, Canada
- School of Kinesiology and Physical Activity Sciences, Faculty of Medicine, Université de Montréal, Montréal, QC H3T 1J4, Canada
- Social and Preventive Medicine Department, School of Public Health, Université de Montréal, Montréal, QC H3N 1X9, Canada
| |
Collapse
|
110
|
Teh BLS, Ang JK, Koh EBY, Pang NTP. Psychological Resilience and Coping Strategies with Anxiety among Malaysian Medical Students during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20031894. [PMID: 36767260 PMCID: PMC9914482 DOI: 10.3390/ijerph20031894] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2022] [Revised: 01/14/2023] [Accepted: 01/15/2023] [Indexed: 06/01/2023]
Abstract
Coronavirus Disease 2019 (COVID-19) swept the world by storm and caused a myriad of devastating consequences, particularly disruptions in medical education. This study aims to examine the association between sociodemographic factors, psychological factors, coping strategies and anxiety among medical students, as well as to identify the predictors of anxiety among them. A cross-sectional study design was used. Self-rated Rosenberg Self-Esteem Scale (RSES), General Self-Efficacy Scale (GSES), Brief Coping Orientation to Problems Experienced Scale (Brief COPE), and General Anxiety Disorder-7 Scale (GAD-7) were used. A total of 371 respondents from a tertiary education center were recruited. The prevalence of anxiety was 37% which corresponded to 21.6% and 15.4% for moderate and severe anxiety, respectively. Sociodemographic factors such as age group and academic year were significantly associated with anxiety, while those with higher self-esteem (rs = -0.487), self-competence (rs = -0.407), self-liking (rs = -0.499), and self-efficacy (rs = -0.245) had lower anxiety. Inversely, those who adopted emotion-focused (rs = 0.130) and dysfunctional coping styles (rs = 0.559) showed higher anxiety. The main predictors of anxiety were self-liking as a protective factor (aOR = 0.81) and dysfunctional coping as a risk factor (aOR = 1.16). Therefore, resilience building and inculcating positive coping strategies are imperative in equipping our budding healthcare providers to weather through future unforeseeable disasters.
Collapse
Affiliation(s)
- Bentham Liang Sen Teh
- Department of Psychiatry, Faculty of Medicine and Health Sciences, University Putra Malaysia, Selangor 43400, Malaysia
| | - Jin Kiat Ang
- Department of Psychiatry, Faculty of Medicine and Health Sciences, University Putra Malaysia, Selangor 43400, Malaysia
| | - Eugene Boon Yau Koh
- Department of Psychiatry, Faculty of Medicine and Health Sciences, University Putra Malaysia, Selangor 43400, Malaysia
| | - Nicholas Tze Ping Pang
- Faculty of Medicine and Health Sciences, University Malaysia Sabah, Kota Kinabalu 88400, Malaysia
| |
Collapse
|
111
|
Blacutt M, Filgueiras A, Stults-Kolehmainen M. Changes in Stress, Depression, and Anxiety Symptoms in a Brazilian Sample During Quarantine Across the Early Phases of the COVID-19 Crisis. Psychol Rep 2023:332941231152393. [PMID: 36651300 PMCID: PMC9852970 DOI: 10.1177/00332941231152393] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
OBJECTIVE We aimed to estimate prevalence and incidence of stress, depression, and anxiety symptoms in Brazilians during the COVID-19 pandemic. METHOD We assessed 103 (54 women, 49 men) participants online in three periods of the pandemic: March 2020 (T1), April 2020 (T2), and June 2020 (T3). Estimates of prevalence and incidence were identified when mental health scores were two standard deviations above the mean compared to normative data. Mental health indicators were measured using the Perceived Stress Scale, the Filgueiras Depression Index, and the State-Trait Anxiety Inventory - State Subscale. RESULTS At T1, 89% of individuals were below cut-off scores for stress, anxiety, and depression, which dropped to 35% by T3. Estimated stress prevalence was 1.9% at T1, 7.8% at T2, and 28.2% at T3. Estimated depression prevalence was 0% at T1, 23.3% at T2, and 25.2% at T3. Estimated state anxiety prevalence was 10.7% at T1, 11.7% at T2, and 45.6% at T3. Stress incidence increased by 7.8% from T1 to T2, and 23.3% from T2 to T3. Depression incidence increased by 23.3% from T1 to T2, and 15.5% from T2 to T3. Anxiety incidence increased by 9.7% from T1 to T2, and 39.8% from T2 to T3. Stress severity scores significantly increased from 16.1 ± 8.7 at T1 to 23.5 ± 8.4 at T2, and 30.3 ± 6.0 at T3. Depression severity scores significantly increased from 48.5 ± 20.5 at T1 to 64.7 ± 30.2 at T2, and 75.9 ± 26.1 at T3. Anxiety increased from 49.0 ± 13.4 at T1 to 53.5 ± 12.5 at T2 and 62.3 ± 13.4 at T3. Females had significantly higher anxiety scores than males by T3 (66.7 ± 11.8 vs. 57.4 ± 13.5). CONCLUSION Prevalence and incidence of stress, depression, and anxiety significantly increased throughout the pandemic. The largest increase in stress and anxiety occurred between T2 and T3, and between T1 and T2 for depression. Severity of stress, depression, and anxiety increased throughout the study.
Collapse
Affiliation(s)
| | - Alberto Filgueiras
- 28130Rio de Janeiro State University, Brazil
- University of Gloucestershire, UK
| | | |
Collapse
|
112
|
Zhao L, Li X, Yang Q, Peng Y, Jiang L, Jia P, Shi W. The longitudinal association between internet addiction and depressive and anxiety symptoms among Chinese adolescents before and during the COVID-19 pandemic. Front Public Health 2023; 10:1096660. [PMID: 36743184 PMCID: PMC9889652 DOI: 10.3389/fpubh.2022.1096660] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2022] [Accepted: 12/29/2022] [Indexed: 01/19/2023] Open
Abstract
Background The COVID-19 pandemic and related prevention policies, such as home quarantine or online courses, could increase the risks of experiencing internet addiction and mental health problems among Chinese adolescents. There is a lack of longitudinal evidence to show the association between internet addiction symptoms and psychological consequences (e.g., depressive and anxiety symptoms). Objective This study aimed to explore the association between internet addiction and depressive and anxiety symptoms before and during the coronavirus disease 2019 (COVID-19) pandemic. Methods An effective sample of 7,958 Chinese adolescents was recruited for this two-wave longitudinal survey conducted over a six-month interval. All participants completed two-wave surveys before and during the COVID-19 pandemic. A longitudinal cross-lagged path model was used to analyze the associations between internet addiction and depressive and anxiety symptoms after controlling for four covariates (i.e., age, sex, minority, and COVID-19 influence). Results Higher depressive and anxiety symptoms before COVID-19 significantly predicted severe internet addiction during COVID-19. Results showed a significant bidirectional relationship between internet addiction and depressive symptoms. Furthermore, the prevalence of internet addiction displayed an increasing trend over the two waves. Conversely, a reduced prevalence of anxiety and depressive symptoms was observed over the two waves. Conclusion This current study provided valuable evidence that psychological problems and internet addiction significantly influenced each other before and during the COVID-19 outbreak. Consequently, the presence of psychological problems before and during the COVID-19 outbreak could indicate internet addiction. Thus, depression- and anxiety-related psychotherapies should be developed to prevent internet addiction among Chinese adolescents.
Collapse
Affiliation(s)
- Li Zhao
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Xiang Li
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Qin Yang
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Yinhui Peng
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Lihua Jiang
- Department of Health Policy and Management, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Peng Jia
- School of Resource and Environmental Sciences, Wuhan University, Wuhan, China,International Institute of Spatial Lifecourse Health (ISLE), Wuhan University, Wuhan, China
| | - Wei Shi
- Institute for Disaster Management and Reconstruction (IDMR), Sichuan University, Chengdu, China,*Correspondence: Wei Shi ✉
| |
Collapse
|
113
|
ALACAHAN YİĞİT S, KUŞ C, GÜMÜŞTAKIM RŞ, DOĞRU V, ERYILMAZ ME. The Fear of Covid-19 Among Adults with Chronic Disease. KAHRAMANMARAŞ SÜTÇÜ İMAM ÜNIVERSITESI TIP FAKÜLTESI DERGISI 2023. [DOI: 10.17517/ksutfd.1184966] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/27/2023] Open
Abstract
Objective: The Covid-19 epidemic is known to have caused many setbacks worldwide. This study determined the Covid-19 fears in the epidemic process of individuals with chronic disease and the factors that could cause this fear. This study aims to be a guide in the process of the Covid-19 epidemic and the development of the right health strategies for potential new outbreaks.
Methods: The universe of our work is composed of 92,350 people over 18 who applied to XXX Faculty of Medicine between 01.07.2020 and 30.09.2020. When the sample was calculated with a 5% margin of error, a 95% confidence interval and a 10% chance of data loss, 421 people were identified. The data was obtained through the application of surveys generated by the literature screening using face-to-face discussions with the volunteers. In addition to various questions about sociodemographic features and the epidemic process, the coronavirus (Covid-19) scare scale has been applied in the survey. Statistical analysis was performed using the SPSS 21.0 package program.
Results: In our study, the majority of the healthy group (52.5%) is made up of men, while the majority of the patient group (56.9%) in women. The healthy group has the most common 53.1 to 18-34% age group, and the patient group has the most common 33.0 to 50-64% age group. The frequency of 65 years and older was 0.6% in the healthy group and 13.8% in the patient group. The difference between age groups is statistically significant (p
Collapse
Affiliation(s)
| | - Celal KUŞ
- KAHRAMANMARAŞ SÜTÇÜ İMAM ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, AİLE HEKİMLİĞİ ANABİLİM DALI
| | - Raziye Şule GÜMÜŞTAKIM
- KAHRAMANMARAŞ SÜTÇÜ İMAM ÜNİVERSİTESİ, TIP FAKÜLTESİ, DAHİLİ TIP BİLİMLERİ BÖLÜMÜ, AİLE HEKİMLİĞİ ANABİLİM DALI
| | - Veysel DOĞRU
- Gaziantep University School of Medicine, Department of Family Medicine, Gaziantep, Turkey
| | | |
Collapse
|
114
|
Meng G, Li Q, Yuan X, Zheng Y, Hu K, Dai B, Liu X. The roles of risk perception, negative emotions and perceived efficacy in the association between COVID-19 infection cues and preventive behaviors: a moderated mediation model. BMC Public Health 2023; 23:109. [PMID: 36647034 PMCID: PMC9841495 DOI: 10.1186/s12889-022-14870-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2022] [Accepted: 12/14/2022] [Indexed: 01/18/2023] Open
Abstract
Preventive behaviors during the COVID-19 pandemic are especially critical to the protection of individuals whose family members or acquaintances have been infected. However, limited research has explored the influence of infection cues on preventive behaviors. This study proposed an interaction model of environment-cognitive/affective-behavior to elucidate the mechanism by which infection cues influence preventive behaviors and the roles of risk perception, negative emotions, and perceived efficacy in that influence. To explore the relationships among these factors, we conducted a cross-sectional online survey in 34 provinces in China during the first wave of the COVID-19 pandemic. A total of 26,511 participants responded to the survey, and 20,205 valid responses (76.2%) were obtained for further analysis. The moderated mediation results show that infection cues positively predicted preventive behaviors in a manner mediated by risk perception and negative emotions. Moreover, perceived efficacy moderated the influence of infection cues not only on preventive behaviors but also on risk perception and negative emotions. The higher the perceived efficacy, the stronger these influences were. These findings validated our model, which elucidates the mechanisms underlying the promoting effect of infection cues on preventive behaviors during the initial stage of the COVID-19 pandemic. The implications of these results for the COVID-19 pandemic and beyond are discussed.
Collapse
Affiliation(s)
- Guangteng Meng
- grid.9227.e0000000119573309CAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, 100101 China ,grid.410726.60000 0004 1797 8419Department of Psychology, University of Chinese Academy of Sciences, Beijing, 100049 China
| | - Qi Li
- grid.253663.70000 0004 0368 505XBeijing Key Laboratory of Learning and Cognition, School of Psychology, Capital Normal University, Beijing, 100048 China
| | - Xiaoyan Yuan
- Big Data Group, Smart Platform R&D Department, Tianjin Meiteng Technology Co., Ltd, Tianjin, 300381 China
| | - Ya Zheng
- grid.411971.b0000 0000 9558 1426Department of Psychology, Dalian Medical University, Dalian, 116044 China
| | - Kesong Hu
- Department of Psychology, Lake Superior State University, Sault St. Marie, MI, USA.
| | - Bibing Dai
- Department of Psychiatry and Psychology, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, 300070, China.
| | - Xun Liu
- grid.9227.e0000000119573309CAS Key Laboratory of Behavioral Science, Institute of Psychology, Chinese Academy of Sciences, Beijing, 100101 China ,grid.410726.60000 0004 1797 8419Department of Psychology, University of Chinese Academy of Sciences, Beijing, 100049 China
| |
Collapse
|
115
|
Nguyen HTH, Hoang AP, Vu LM, Tran DQ, Bui LK, Pham TT, Tran LTK, Nguyen HTT. Prevalence of and risk factors associated with depression among nursing students acting on the frontline of COVID-19 pandemic: A cross-sectional study. Front Public Health 2023; 10:1020419. [PMID: 36711390 PMCID: PMC9883110 DOI: 10.3389/fpubh.2022.1020419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Accepted: 12/14/2022] [Indexed: 01/11/2023] Open
Abstract
Introduction The widespread devastation caused by the ongoing waves of COVID-19 imposed a significant burden on the healthcare labor force. At the frontline in the battle against the deadly COVID-19 virus, nursing students in Vietnam were at a much-increased risk of developing mental health conditions. This study aims to identify the prevalence of depression and its related factors, along with coping strategies used by nursing students in the COVID-19 pandemic in Vietnam. Materials and methods The study was cross-sectional in nature, with convenient sampling at the epicenters of COVID-19 outbreaks in Vietnam (N = 191) from April to November 2021. After conducting a questionnaire pilot, the data was collected strictly using an internet-based approach. The Depression, Anxiety, and Stress Scale-21 items were used to identify the risk of depression among nursing students. The Chi-square test was used to assess the differences between coping strategies among nursing students. A multivariate logistic regression model was used to identify risk factors associated with depression. Findings The percentage of nursing students affected by depression was 21.5%, and almost half of the nursing students (49.2%) had no coping strategies for dealing with mental health concerns. Among the remaining nursing students, video-based mental consultation was the most popular method (25.7%). Being females (AOR: 2.7, 95% CI: 1.1-6.7), collecting bio-samples (AOR: 2.9, 95% CI: 1.4-6.2), providing support to vaccination spots (AOR: 2.3, 95% CI: 1.1-5.1), and not vaccinating against COVID-19 (AOR: 3.1, 95% CI: 1.1-9.1) were found as risk factors for depression among nursing students. Conclusion Our research revealed a significant number of nursing students suffering from depressive symptoms and underscoring the need for more effective methods of dealing with this condition. Depression management and coping skills focusing on female populations and those whose direct contacts with infectious sources should be implemented in the nursing curricula and continuous training credits. Those trainings, would support future nurses in handling crisis situations better.
Collapse
Affiliation(s)
- Huyen Thi Hoa Nguyen
- College of Health Sciences, VinUniversity, Hanoi, Vietnam,*Correspondence: Huyen Thi Hoa Nguyen ✉
| | - Anh Phuong Hoang
- College of Health Sciences, VinUniversity, Hanoi, Vietnam,Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi, Vietnam
| | - Linh Manh Vu
- College of Health Sciences, VinUniversity, Hanoi, Vietnam
| | - Duc Quang Tran
- College of Health Sciences, VinUniversity, Hanoi, Vietnam
| | - Linh Khanh Bui
- College of Health Sciences, VinUniversity, Hanoi, Vietnam,Faculty of Nursing and Midwifery, Hanoi Medical University, Hanoi, Vietnam
| | - Thuan Thi Pham
- College of Health Sciences, VinUniversity, Hanoi, Vietnam,Department of Nursing, Military Institute of Traditional Medicine, Hanoi, Vietnam
| | - Linh Thuy Khanh Tran
- Faculty of Nursing and Medical Technology, Ho Chi Minh City Medicine and Pharmacy University, Ho Chi Minh City, Vietnam
| | | |
Collapse
|
116
|
Zsichla L, Müller V. Risk Factors of Severe COVID-19: A Review of Host, Viral and Environmental Factors. Viruses 2023; 15:175. [PMID: 36680215 PMCID: PMC9863423 DOI: 10.3390/v15010175] [Citation(s) in RCA: 32] [Impact Index Per Article: 32.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Revised: 01/04/2023] [Accepted: 01/04/2023] [Indexed: 01/11/2023] Open
Abstract
The clinical course and outcome of COVID-19 are highly variable, ranging from asymptomatic infections to severe disease and death. Understanding the risk factors of severe COVID-19 is relevant both in the clinical setting and at the epidemiological level. Here, we provide an overview of host, viral and environmental factors that have been shown or (in some cases) hypothesized to be associated with severe clinical outcomes. The factors considered in detail include the age and frailty, genetic polymorphisms, biological sex (and pregnancy), co- and superinfections, non-communicable comorbidities, immunological history, microbiota, and lifestyle of the patient; viral genetic variation and infecting dose; socioeconomic factors; and air pollution. For each category, we compile (sometimes conflicting) evidence for the association of the factor with COVID-19 outcomes (including the strength of the effect) and outline possible action mechanisms. We also discuss the complex interactions between the various risk factors.
Collapse
Affiliation(s)
- Levente Zsichla
- Institute of Biology, Eötvös Loránd University, 1117 Budapest, Hungary
- National Laboratory for Health Security, Eötvös Loránd University, 1117 Budapest, Hungary
| | - Viktor Müller
- Institute of Biology, Eötvös Loránd University, 1117 Budapest, Hungary
- National Laboratory for Health Security, Eötvös Loránd University, 1117 Budapest, Hungary
| |
Collapse
|
117
|
Chishima Y, Liu ITHC. Mental Health During the COVID-19 Pandemic in Japan: Applying Topic Modeling in Daily Life Descriptions. Int J Ment Health Addict 2023; 21:180-199. [PMID: 34867123 PMCID: PMC8628833 DOI: 10.1007/s11469-021-00587-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/31/2021] [Indexed: 02/07/2023] Open
Abstract
The novel coronavirus disease pandemic is threatening not only physical but also mental health. Although some recent quantitative studies have been conducted and revealed the influence of the pandemic on mental health and its relevant factors, it is impossible to obtain and explore all possible variables strongly related to mental health. Therefore, we attempted to adopt a bottom-up approach using text mining of participants' narratives. We examined how participants' descriptions of daily life during the pandemic were categorized into various topics, and which topics were related to their mental health in a sample of 776 Japanese citizens in the general population over 18 years old. Results of a topic modeling with 2,594 unique words provided nine topics (mask, physical symptoms, children, infection anxiety, disinfection items, economic influence, remote work, going out, and change of lifestyle). Those who wrote about economic influence, physical symptoms, and disinfection items experienced lower life satisfaction and higher depression and negative affect, whereas those who mentioned their children were likely to have higher life satisfaction. This study highlighted that monitoring the mental health of individuals with economic impacts and physical symptoms may reduce the damage of COVID-19. Supplementary Information The online version contains supplementary material available at 10.1007/s11469-021-00587-y.
Collapse
Affiliation(s)
- Yuta Chishima
- University of Tsukuba, Tsukuba, Ibaraki 305-8572 Japan
| | | |
Collapse
|
118
|
Almeida CPP, Novo AFMP, Lluch Canut MT, Ferré‐Grau C, Sequeira CADC. COVID-19 infection: Positive mental health, psychological vulnerability and sex: Cross-sectional study. J Nurs Scholarsh 2023; 55:123-130. [PMID: 36239008 PMCID: PMC9874471 DOI: 10.1111/jnu.12826] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2022] [Revised: 09/15/2022] [Accepted: 09/16/2022] [Indexed: 02/07/2023]
Abstract
Since mid-March 2020, a state of emergency was decreed in Portugal due to the COVID-19 pandemic and, consequently, measures were implemented to protect public health, such as social isolation, which will certainly have a notable impact on the mental health of the population, especially in the most vulnerable groups. Positive Mental Health (PMH) is essential to deal with adversity, in this case with the pandemic, and to live better and with greater satisfaction. We consider it relevant to investigate how PMH was used as a resource to deal with the pandemic, depending on the level of vulnerability and sex. A, cross-sectional study was carried out whose the aim was to evaluate the levels of PMH and psychological vulnerability in people with COVOD-19 infection and analyze the association between PMH and psychological vulnerability among men and women. METHODS The instruments used were a sociodemographic characterization questionnaire, the Positive Mental Health Questionnaire, and the Psychological Vulnerability Scale (PVS), that were sent and filled out online. A quantitative, cross-sectional, descriptive, and correlational study was carried out. RESULTS After analyzing the results, it was found that approximately 50.4% of the respondents (n = 387) had global PMH values that place them in quartile 50. There was also a statistically significant difference between female and male PMH, with women showing greater psychological vulnerability and lower overall PMH. CONCLUSIONS We conclude that the women present a greater psychological vulnerability and a lower level of PMH when compared to men. RELEVANCE TO CLINICAL PRACTICE Considering the study's statistically significant results, when we talk about mental health, we should always consider the sex variable as a vulnerability factor, in a pandemic or non-pandemic phase.
Collapse
Affiliation(s)
| | - André Filipe Morais Pinto Novo
- Insituto Politécnico de Bragança, Escola superior de SaúdeBragancaPortugal,Center for Health Technology and Services Research (CINTESIS)
| | | | | | | |
Collapse
|
119
|
Zhang X, Ren H, Gao L, Shia BC, Chen MC, Ye L, Wang R, Qin L. Identifying the predictors of severe psychological distress by auto-machine learning methods. INFORMATICS IN MEDICINE UNLOCKED 2023; 39:101258. [PMID: 37152204 PMCID: PMC10141788 DOI: 10.1016/j.imu.2023.101258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 04/18/2023] [Accepted: 04/24/2023] [Indexed: 05/09/2023] Open
Abstract
Social stress in daily life and the COVID-19 pandemic have greatly impacted the mental health of the population. Early detection of a predisposition to severe psychological distress is essential for timely interventions. This paper analyzed 4036 samples participating in the 2019-2020 National Health Information Trends Survey (HINTS) and identified 57 candidate predictors of severe psychological distress based on univariate chi-square and t-test analyses. Five machine learning methods, namely logistic regression (LR), automatic generalized linear models (Auto-GLM), automatic random forests (Auto-Random Forests), automatic deep neural networks (Auto-Deep learning) and automatic gradient boosting machines (Auto-GBM), were employed to model synthetic minority oversampling technique-based (SMOTE) resampled data and identify predictors of severe psychological distress. Predictors were evaluated by odds ratios in logistic models and variable importance in the other models. Forty-seven variables were identified as significant predictors of severe psychological distress, including 13 sociodemographic variables and 34 variables related to individual lifestyle and behavioral habits. Among them, new potentially relevant variables related to an individual's level of concern and trust in cancer information, exposure to health care providers, and cancer screening and awareness are included. The performance of each model was evaluated using five-fold cross-validation. The optimal model performance-wise was Auto-GBM with an accuracy of 89.75%, a precision of 89.68%, a recall of 89.31%, an F1-score of 89.48% and an AUC of 95.57%. Significant predictors of severe psychological distress were identified in this study and the value of machine learning methods in predicting severe psychological distress is demonstrated, thereby enhancing pre-prediction and clinical decision-making of severe psychological distress problems.
Collapse
Affiliation(s)
- Xiaomei Zhang
- School of Statistics, University of International Business and Economics, Beijing, China
| | - Haoying Ren
- School of Statistics, University of International Business and Economics, Beijing, China
| | - Lei Gao
- School of Law, University of International Business and Economics, Beijing, China
| | - Ben-Chang Shia
- Graduate Institute of Business Administration, College of Management, Fu Jen Catholic University, New Taipei City, Taiwan
- Artificial Intelligence Development Center, Fu Jen Catholic University, New Taipei City, Taiwan
| | - Ming-Chih Chen
- Graduate Institute of Business Administration, College of Management, Fu Jen Catholic University, New Taipei City, Taiwan
- Artificial Intelligence Development Center, Fu Jen Catholic University, New Taipei City, Taiwan
| | - Linglong Ye
- School of Public Affairs, Xiamen University, Xiamen, China
| | - Ruojia Wang
- School of Management, Beijing University of Chinese Medicine, Beijing, China
| | - Lei Qin
- School of Statistics, University of International Business and Economics, Beijing, China
- Dong Fureng Institute of Economic and Social Development, Wuhan University, Wuhan, China
| |
Collapse
|
120
|
Reskati MH, Shafizad M, Aarabi M, Hedayatizadeh-Omran A, Khosravi S, Elyasi F. Mental health status and psychosocial issues during Nationwide COVID-19 quarantine in Iran in 2020: A cross-sectional study in Mazandaran Province. CURRENT PSYCHOLOGY 2023; 42:2471-2487. [PMID: 34253946 PMCID: PMC8263010 DOI: 10.1007/s12144-021-02011-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/15/2021] [Indexed: 12/17/2022]
Abstract
The coronavirus disease 2019 (COVID-19) pandemic is spreading rapidly, and its psychosocial impact remains a big challenge. In this respect, quarantine has been recommended, as a significant practice, to prevent the given condition. Therefore, the present study was to determine the prevalence rates of depression, anxiety, and stress and to reflect on the impact of COVID-19, as a traumatic stressor event, on individuals. This web-based survey was fulfilled via an online questionnaire, completed by respondents selected through the cluster sampling technique, from March 24 to April 10, 2020, living in Mazandaran Province, Northern Iran. Accordingly, the data regarding demographic characteristics, physical health status, quarantine compliance, contact with COVID-19, and additional information were collected. The psychosocial impact of the pandemic was then assessed by the Impact of Event Scale-Revised (IES-R), and the respondents' mental health status was evaluated using the Depression, Anxiety, and Stress Scale-21 (DASS-21). Data analysis was further performed by linear regression. The study findings, from 1075 respondents, revealed that 22.5% of the cases had moderate-to-severe depression, 38.5% of the individuals were suffering from moderate-to-severe anxiety, and 47.2% of the participants were experiencing moderate-to-severe stress. In 14.5% of the respondents, the psychosocial impact of COVID-19 also varied from the possibility of post-traumatic stress disorder (PTSD) to immunosuppression (p < 0.01). With the high prevalence rates of depression, anxiety, and stress, mental health professionals are suggested to develop psychosocial interventions and support plans for the general population to reduce the impact of the COVID-19 pandemic on public mental health status.
Collapse
Affiliation(s)
| | - Misagh Shafizad
- Orthopedic Research Center, Mazandaran University of Medical Science, Sari, Iran
| | - Mohsen Aarabi
- Department of Family Medicine, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| | | | - Sahar Khosravi
- Hematology and Medical Oncology Fellowship, Hematology, HSCT and Cancer Shariatic Hospital Research Center, Tehran University of Medical Sciences, Tehran, Iran
| | - Forouzan Elyasi
- Psychiatry and Behavioral Sciences Research Center, Sexual and Reproductive Health Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
- Consultation-Liaison Psychiatry Ward, Imam Khomeini General Hospital, Razi Ave., Sari, Mazandaran, IR 48157-33971 Iran
- Department of Psychiatry, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
| |
Collapse
|
121
|
Lokajova A, Smahel D, Kvardova N. Health-related social media use and COVID-19 anxiety in adolescence: health anxiety as covariate and moderator. Front Psychol 2023; 14:1079730. [PMID: 37205077 PMCID: PMC10187632 DOI: 10.3389/fpsyg.2023.1079730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Accepted: 04/11/2023] [Indexed: 05/21/2023] Open
Abstract
Background Adolescents can benefit from engagement with health-related content on social media (e.g., viewing, commenting, or sharing content related to diseases, prevention, or healthy lifestyle). Nevertheless, such content may be distressing or exaggerated and present a challenge to mental well-being, especially during the COVID-19 pandemic. Rumination about such content may lead to COVID-19 anxiety. Yet, the individual factors that would explain the association between health-related social media use (SMU) and COVID-19 anxiety are understudied. Objective In the current study, we aimed to fill the gap by investigating the association between health-related social media use (SMU) and COVID-19 anxiety in light of several individual factors: health anxiety, eHealth literacy, and mild and severe experience with COVID-19 infection. We (1) studied the relationship between individual factors and health-related SMU, (2) tested health anxiety as a moderator in the association between health-related SMU and COVID-19 anxiety, and (3) explored a direct effect of experience with COVID-19 on COVID-19 anxiety. Methods Using structural equation modeling, we analyzed cross-sectional data from a representative sample of 2,500 Czech adolescents aged 11-16, 50% girls. Sociodemographic measures, health-related SMU, COVIDCOVID-19 anxiety, health anxiety, eHealth literacy, and mild and severe experience with COVID-19 infection were assessed with an anonymous online survey. The data were collected in June 2021. Results We conducted a path analysis to test the main relationships and an additional simple-slopes analysis to explore the moderating effect of health anxiety. Higher health anxiety and eHealth literacy were associated with increased health-related SMU. The effect of experience with COVID-19 infection on both COVID-19 anxiety and health-related SMU was negligible. Health-related SMU and COVID-19 anxiety were positively associated, however, only for adolescents high in health anxiety. For other adolescents, the two variables were unrelated. Conclusion Our findings show that adolescents with higher health anxiety and eHealth literacy engage in health-related SMU more intensively. Furthermore, for adolescents high in health anxiety, the frequency of health-related SMU is associated with the risk of COVID-19 anxiety. This is likely due to differences in media use. Adolescents with high health anxiety may use social media for content that is more likely to lead to COVID-19 anxiety compared to other adolescents. We recommend focusing on the identification of such content, which may lead to more precise recommendations regarding health-related SMU compared to cut-back on the frequency of overall SMU.
Collapse
|
122
|
Choe H, Gondo Y, Kasuga A, Masui Y, Nakagawa T, Yasumoto S, Ikebe K, Kamide K, Kabayama M, Ishizaki T. The Relationship Between Social Interaction and Anxiety Regarding COVID-19 in Japanese Older Adults. Gerontol Geriatr Med 2023; 9:23337214231175713. [PMID: 37255654 PMCID: PMC10225903 DOI: 10.1177/23337214231175713] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 04/23/2023] [Accepted: 04/24/2023] [Indexed: 06/01/2023] Open
Abstract
While previous studies suggest that women have higher anxiety than men regarding COVID-19, underlying mechanisms remain unclear. This study tries to explain the mechanisms by gender difference in social interaction based on a theory of social amplification of risk framework (SARF). We surveyed older adults in Japan regarding their anxiety regarding COVID-19, as well as the frequencies of their direct and indirect social interaction in July 2020 (N = 1,587, aged 78-99 years). To explore the way in which gender and anxiety regarding COVID-19 were mediated by these two types of social interactions, MODEL4 of SPSS's Process MACRO was applied to the data. We found that older women interacted more directly and indirectly with others than did older men. And, direct social interaction was negatively and related, but indirect social interaction was positively related to older adults' anxiety regarding COVID-19. Furthermore, direct social interaction was related to older women's low anxiety regarding COVID-19, whereas indirect social interaction was related to older women's high anxiety regarding COVID-19. The findings of our study suggest that the degree of anxiety regarding COVID-19 among older women may be dependent upon the types of social interaction they have with others.
Collapse
Affiliation(s)
- Hwang Choe
- Osaka University Graduate School of
Human Sciences Clinical Thanatology and Geriatric Behavioral Science, Suita,
Japan
| | - Yasuyuki Gondo
- Osaka University Graduate School of
Human Sciences Clinical Thanatology and Geriatric Behavioral Science, Suita,
Japan
| | - Ayaka Kasuga
- Osaka University Graduate School of
Human Sciences Clinical Thanatology and Geriatric Behavioral Science, Suita,
Japan
| | - Yukie Masui
- Tokyo Metropolitan Institute of
Gerontology, Japan
| | | | - Saori Yasumoto
- Osaka University Graduate School of
Human Sciences, Japan
| | - Kazunori Ikebe
- Osaka University School of Dentistry
Graduate School of Dentistry, Japan
| | - Kei Kamide
- Osaka University School of Medicine
Graduate School of Medicine, Japan
| | - Mai Kabayama
- Osaka University School of Medicine
Graduate School of Medicine, Japan
| | | |
Collapse
|
123
|
Ramírez‐Vélez R, Olabarrieta‐Landa L, Rivera D, Izquierdo M. Factor structure of the 10-item CES-D Scale among patients with persistent COVID-19. J Med Virol 2023; 95:e28236. [PMID: 36258275 PMCID: PMC9874723 DOI: 10.1002/jmv.28236] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 10/09/2022] [Accepted: 10/16/2022] [Indexed: 01/27/2023]
Abstract
The presence of persistent coronavirus disease 2019 (COVID-19) might be associated with significant levels of psychological distress that would meet the threshold for clinical relevance. The Center for Epidemiologic Studies Depression Scale (CES-D) version 10 has been widely used in assessing psychological distress among general and clinical populations from different cultural backgrounds. To our knowledge, however, researchers have not yet validated these findings among patients with persistent COVID-19. A cross-sectional validation study was conducted with 100 patients from the EXER-COVID project (69.8% women; mean (±standard deviation) ages: 47.4 ± 9.5 years). Confirmatory factor analyses (CFAs) were performed on the 10-item CES-D to test four model fits: (a) unidimensional model, (b) two-factor correlated model, (c) three-factor correlated model, and (d) second-order factor model. The diagonal-weighted least-squares estimator was used, as it is commonly applied to latent variable models with ordered categorical variables. The reliability indices of the 10-item CES-D in patients with persistent COVID-19 were as follows: depressive affect factor ( α Ord = 0 . 82 ${\alpha }_{\mathrm{Ord}}=0.82$ ; ω u - cat = 0 . 78 ${\omega }_{{\rm{u}}-\mathrm{cat}}=0.78$ ), somatic retardation factor ( α Ord = 0 . 78 ${\alpha }_{\mathrm{Ord}}=0.78$ ; ω u - cat = 0 . 56 ${\omega }_{{\rm{u}}-\mathrm{cat}}=0.56$ ), and positive affect factor ( α Ord = 0 . 56 ${\alpha }_{\mathrm{Ord}}=0.56$ ; ω u - cat = 0 . 55 ${\omega }_{{\rm{u}}-\mathrm{cat}}=0.55$ ). The second-order model fit showed good Omega reliability ( ω ho = 0 . 87 ${\omega }_{\mathrm{ho}}=0.87$ ). Regarding CFAs, the unidimensional-factor model shows poor goodness of fit, especially residuals analysis (root mean square error of approximation [RMSEA] = 0.081 [95% confidence interval, CI = 0.040-0.119]; standardized root mean square residual [SRMR] = 0.101). The two-factor correlated model, three-factor correlated model, and second-order factor model showed adequate goodness of fit, and the χ2 difference test ( ∆ X 2 $\unicode{x02206}{X}^{2}$ ) did not show significant differences between the goodness of fit for these models ( ∆ X 2 = 4.1128 $\unicode{x02206}{X}^{2}=4.1128$ ; p = 0.127). Several indices showed a good fit with the three-factor correlated model: goodness-of-fit index = 0.974, comparative fit index = 0.990, relative noncentrality index = 0.990, and incremental fit index = 0.990, which were all above 0.95, the traditional cut-off establishing adequate fit. On the other hand, RMSEA = 0.049 (95% CI = 0.000-0.095), where an RMSEA < 0.06-0.08 indicates an adequate fit. Item loadings on the factors were statistically significant ( λ j ≥ 0.449 ${\lambda }_{j}\ge 0.449$ ; p's < 0.001), indicating that the items loaded correctly on the corresponding factors and the relationship between factors ( ϕ ≥ 0.382 $\phi \ge 0.382$ ; p's ≤ 0.001. To our knowledge, this is the first study to provide validity and reliability to 10-item CES-D in a persistent COVID-19 Spanish patient sample. The validation and reliability of this short screening tool allow us to increase the chance of obtaining complete data in a particular patient profile with increased fatigue and brain fog that limit patients' capacity to complete questionnaires.
Collapse
Affiliation(s)
- Robinson Ramírez‐Vélez
- Navarrabiomed, Hospital Universitario de Navarra (HUN)Universidad Pública de Navarra (UPNA)PamplonaSpain,CIBER of Frailty and Healthy Aging (CIBERFES)Instituto de Salud Carlos IIIMadridSpain,Instituto de Investigación Sanitaria de Navarra (IdiSNA)PamplonaSpain
| | - Laiene Olabarrieta‐Landa
- Instituto de Investigación Sanitaria de Navarra (IdiSNA)PamplonaSpain,Departamento de Ciencias de la SaludUniversidad Pública de Navarra (UPNA)PamplonaSpain
| | - Diego Rivera
- Instituto de Investigación Sanitaria de Navarra (IdiSNA)PamplonaSpain,Departamento de Ciencias de la SaludUniversidad Pública de Navarra (UPNA)PamplonaSpain
| | - Mikel Izquierdo
- Navarrabiomed, Hospital Universitario de Navarra (HUN)Universidad Pública de Navarra (UPNA)PamplonaSpain,CIBER of Frailty and Healthy Aging (CIBERFES)Instituto de Salud Carlos IIIMadridSpain
| |
Collapse
|
124
|
Frankenthal D, Keinan-Boker L, Bromberg M. Rise in depression and anxiety during the COVID-19 pandemic: results from a cross-sectional national survey. PSYCHOL HEALTH MED 2023; 28:139-147. [PMID: 35388716 DOI: 10.1080/13548506.2022.2057558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
The Coronavirus disease 2019 (COVID-19) pandemic has introduced many mental stressors. This study aimed to evaluate the prevalence of depression and anxiety during the pandemic and characterize those at higher risk. We conducted a national cross-sectional telephone interview survey among Israeli adults from May to September 2020, between the first two national lockdowns. Mental health status was measured using the 5-item Mental Health Inventory (MHI-5). A score of ≤60 was defined as poor mental health with moderate to high anxiety and depression symptoms. Multivariate analysis was used to identify demographic, health-related, and COVID-19-related risk factors associated with poor mental health. From 4,712 households that were eligible for inclusion in this study, 2,634 participants (55.9%) completed the survey. Levels of anxiety and depression symptoms increased significantly throughout the pandemic (from 12.9% to 20.3%, P < 0.001). Loneliness also increased over time (from 48.8% to 58.8%, P < 0.001), and fear of the pandemic remained high (66.5%) throughout the study. According to the multivariate analysis, poor mental health was associated with younger age, female gender, lower education, Arab ethnicity, decrease in household income during the pandemic, having a pre-existing chronic illness, obesity, smoking, ever being quarantined, feeling lonely and fear of the pandemic. Our findings show an increase in anxiety and depression over time among the Israeli population during the COVID-19 pandemic. These findings highlight the need for strengthened mental health services and the flexibility of reallocation of funds and health resources to support the growing mental health needs during the health crisis.
Collapse
Affiliation(s)
- Dvora Frankenthal
- Israel Center for Disease Control (ICDC), Ministry of Health, Ramat-Gan, Israel
| | - Lital Keinan-Boker
- Israel Center for Disease Control (ICDC), Ministry of Health, Ramat-Gan, Israel.,School of Public Health, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Michal Bromberg
- Israel Center for Disease Control (ICDC), Ministry of Health, Ramat-Gan, Israel.,School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| |
Collapse
|
125
|
Arcand M, Bilodeau-Houle A, Juster RP, Marin MF. Sex and gender role differences on stress, depression, and anxiety symptoms in response to the COVID-19 pandemic over time. Front Psychol 2023; 14:1166154. [PMID: 37207028 PMCID: PMC10189052 DOI: 10.3389/fpsyg.2023.1166154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 04/11/2023] [Indexed: 05/21/2023] Open
Abstract
Introduction Stress, depression, and anxiety symptoms have been reported during the pandemic, with important inter-individual differences. Past cross-sectional studies have found that sex and gender roles may contribute to the modulation of one's vulnerability to develop such symptoms. This longitudinal study aimed to examine the interaction of sex and psychological gender roles on stress, depression, and anxiety symptoms in adults during the COVID-19 pandemic. Methods Following the confinement measures in March 2020 in Montreal, stress, depression, and anxiety symptoms were assessed every 3 months (from June 2020 to March 2021) with the Depression, Anxiety and Stress Scale among 103 females and 50 males. Femininity and masculinity scores were assessed with the Bem Sex Role Inventory before the pandemic and were added as predictors along with time, sex, and the interactions between these variables using linear mixed models. Results We observed similar levels of depressive symptoms between males and females, but higher levels of stress and anxious symptoms in females. No effects of sex and gender roles on depressive symptoms were found. For stress and anxiety, an interaction between time, femininity, and sex was found. At the beginning of the pandemic, females with high femininity had more stress symptoms than males with high femininity, whereas females with low femininity had more anxiety symptoms 1 year after the confinement measures compared to males with low femininity. Discussion These findings suggest that sex differences and psychological gender roles contribute to heterogeneous patterns of stress and anxiety symptoms over time in response to the COVID-19 pandemic.
Collapse
Affiliation(s)
- Maryse Arcand
- Département de Psychiatrie et d'Addictologie, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada
- Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada
| | - Alexe Bilodeau-Houle
- Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada
- Département de Psychologie, Faculté des Sciences Humaines, Université du Québec à Montréal, Montréal, QC, Canada
| | - Robert-Paul Juster
- Département de Psychiatrie et d'Addictologie, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada
- Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada
| | - Marie-France Marin
- Département de Psychiatrie et d'Addictologie, Faculté de Médecine, Université de Montréal, Montréal, QC, Canada
- Centre de Recherche de l'Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada
- Département de Psychologie, Faculté des Sciences Humaines, Université du Québec à Montréal, Montréal, QC, Canada
- *Correspondence: Marie-France Marin
| |
Collapse
|
126
|
Mahdavifar N, Mohammadian M, Kalan Farmanfarma K, Khosrorad R, Dizavandi AR, Sani FV, Salehiniya H. Evaluation of the prevalence of illness anxiety disorder following the COVID-19 pandemic in Iran and its related factors: a cross-sectional study. Health Sci Rep 2023; 6:e943. [PMID: 36467760 PMCID: PMC9708906 DOI: 10.1002/hsr2.943] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Revised: 10/31/2022] [Accepted: 11/03/2022] [Indexed: 12/01/2023] Open
Abstract
BACKGROUND AND AIMS COVID-19 pandemic has generated a rise in psychological distress, such as illness anxiety disorder, apart from its negative physical effects. This study intends to the evaluation of illness anxiety disorder rate following the prevalence of COVID-19 in Iran and its associated factors. METHODS In this study, 634 people were studied. The data collection method was performed via the virtual networks using a questionnaire, with the sampling method being convenient and nonprobable with the method of snowball. Evans illness anxiety disorder questionnaire was utilized in this investigation. The logistic regression model and the χ 2 were used to evaluate the data. RESULTS The prevalence of illness anxiety disorder was 12.1%. The chance to have an illness anxiety disorder in the people whose relatives had a history of COVID-19 was 5.32 times, and in those who had a relative with a history of COVID-19 had higher (odds ratio = 1.27). But, this connection in people who worked or studied in nonmedical fields, is several times more than those who are busy in the medical fields. In individuals of 30 years and older, the chance of patients in single people compared to married people was 5.20 times higher, but under the age of 30 years, the chance of illness anxiety disorder in single people was 0.91. CONCLUSION COVID-19 pandemic, also to the physical effects, may have psychological implications for people. Therefore, reducing the individual and social activities in terms of this disease, along with measures related to physical problems, diagnosis, timely treatment and proper psychological consequences, including illness anxiety disorder can be very fruitful.
Collapse
Affiliation(s)
- Neda Mahdavifar
- Department of Biostatistics and Epidemiology, School of Health, NonCommunicable Diseases Research CenterSabzevar University of Medical SciencesSabzevarIran
- Department of Biostatistics and Epidemiology, School of Public HealthTehran University of Medical SciencesTehranIran
| | - Maryam Mohammadian
- Department of Biostatistics and Epidemiology, School of Public HealthTehran University of Medical SciencesTehranIran
| | - Khadijeh Kalan Farmanfarma
- Department of Biostatistics and Epidemiology, School of Heaith and SafetyShahid Beheshti University of Medical SciencesTehranIran
- Department of Epidemiology, Trauma Research CenterKashan University of Medical SciencesKashanIran
| | - Razieh Khosrorad
- Department of Epidemiology, Trauma Research CenterKashan University of Medical SciencesKashanIran
- Department of Health Education, School of HealthSabzevar University of Medical SciencesSabzevarIran
| | - Ahmad R. Dizavandi
- Department of Health Education, School of HealthSabzevar University of Medical SciencesSabzevarIran
- Department of Medical‐ Surgical Nursing, school of NursingNorth khorasan University of Medical SciencesBojnurdIran
| | - Fatemeh V. Sani
- Department of Medical‐ Surgical Nursing, school of NursingNorth khorasan University of Medical SciencesBojnurdIran
- Department of Operating Room, School of Allied Medical sciencesSabzevar University of Medical SciencesSabzevarIran
| | - Hamid Salehiniya
- Department of Operating Room, School of Allied Medical sciencesSabzevar University of Medical SciencesSabzevarIran
- Social Determinates of Health Research CenterBirjand University of Medical SciencesBirjandIran
| |
Collapse
|
127
|
Shahabi N, Mohseni S, Dadipoor S, Rad RE, Hassani L. Perceived stress among older adults during COVID‐19 outbreak: A cross‐sectional study in Southern Iran. Health Sci Rep 2023; 6:e993. [PMCID: PMC9748409 DOI: 10.1002/hsr2.993] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 11/29/2022] [Accepted: 12/05/2022] [Indexed: 12/15/2022] Open
Affiliation(s)
- Nahid Shahabi
- Student Research Committee Hormozgan University of Medical Sciences Bandar Abbas Iran
| | - Shokrollah Mohseni
- Social Determinants in Health Promotion Research Center, Hormozgan Health Institute Hormozgan University of Medical Sciences Bandar Abbas Iran
| | - Sara Dadipoor
- Social Determinants in Health Promotion Research Center, Hormozgan Health Institute Hormozgan University of Medical Sciences Bandar Abbas Iran
| | - Roghayeh E. Rad
- Student Research Committee Hormozgan University of Medical Sciences Bandar Abbas Iran
| | - Laleh Hassani
- Social Determinants in Health Promotion Research Center, Hormozgan Health Institute Hormozgan University of Medical Sciences Bandar Abbas Iran
| |
Collapse
|
128
|
Prokopowicz A, Stańczykiewicz B, Uchmanowicz I. Anxiety and Psychological Flexibility in Women After Childbirth in the Rooming-in Unit during the COVID-19 Pandemic. J Midwifery Womens Health 2023; 68:107-116. [PMID: 36565212 PMCID: PMC9880685 DOI: 10.1111/jmwh.13445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 09/15/2022] [Accepted: 10/13/2022] [Indexed: 12/25/2022]
Abstract
INTRODUCTION The coronavirus disease 2019 (COVID-19) pandemic has intensified perinatal anxiety disorders. Psychological flexibility (PF), considered a specific mental toughness, has not been examined with regard to its relationship with anxiety in women after childbirth. We aimed to compare levels of anxiety, PF, and pain in women depending on the mode of birth, parity, and the magnitude of risk of developing an anxiety disorder. We also investigated the association of anxiety with PF and pain. METHODS A total of 187 women after childbirth completed validated questionnaires for anxiety (State-Trait Anxiety Inventory, Hospital Anxiety and Depression Scale-Anxiety, Numerical Rating Scale for anxiety [NRS-A]), PF, and pain (Numerical Rating Scale for pain). Specific postpartum anxieties were assessed with a numerical scale from 0 to 10. The relationship of anxiety with PF and pain was examined. Women at low and high risk of developing anxiety disorder were compared in terms of PF, anxiety, and pain. RESULTS On the second postpartum day, women after cesarean birth demonstrated significantly greater anxiety on NRS-A and pain than those after vaginal birth. Primiparous women experienced significantly greater anxieties and pain compared to multiparous women. The higher the PF patients demonstrated, the less anxiety and pain they had. Patients at high risk of developing an anxiety disorder had a lower level of PF (P < .001) and higher levels of anxiety (P < .001) and pain (P < .01) than patients at low risk of developing an anxiety disorder. No difference in the anxiety of getting COVID-19 was observed between the groups (P > .05). CONCLUSIONS PF is an important psychological construct related to the mental and physical condition of women after childbirth. Increasing PF in women after childbirth may be considered as an important goal of preventive and intervention measures.
Collapse
Affiliation(s)
- Anna Prokopowicz
- Division of Midwifery and Gynaecological Nursing, Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wrocław, Poland
| | - Bartłomiej Stańczykiewicz
- Division of Consultation Psychiatry and Neuroscience, Department of Psychiatry, Faculty of Medicine, Wroclaw Medical University, Wrocław, Poland
| | - Izabella Uchmanowicz
- Division of Internal Medicine Nursing, Department of Nursing and Obstetrics, Faculty of Health Sciences, Wroclaw Medical University, Wrocław, Poland
| |
Collapse
|
129
|
Yeh CC, Lee YT, Chien CY, Chen PC, Chen JH, Liu CH. Factors Affecting Self-Harm- or Violence-Related Urgent Psychiatric Consultation During the COVID-19 Pandemic in Taiwan. Psychol Res Behav Manag 2023; 16:1755-1762. [PMID: 37187781 PMCID: PMC10178994 DOI: 10.2147/prbm.s399242] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2022] [Accepted: 04/19/2023] [Indexed: 05/17/2023] Open
Abstract
Purpose People's health-care-seeking behaviors considerably changed during the COVID-19 pandemic. This study evaluated the changes in self-harm- and violence-related urgent psychiatric consultation (UPC) in the emergency department (ED) during different stages of the pandemic and at different levels of hospitals. Patients and Methods We recruited patients who received UPC during the baseline (2019), peak (2020), and slack (2021) periods of the same time window (calendar weeks 4-18) during the COVID-19 pandemic. Demographic data such as age, sex, and referral type (by the police/emergency medical system) were also recorded. Results We found female gender and younger age associated with higher risk of self-harm-related UPCs, whereas patients visiting regional hospitals, male patients, and patients referred by the policy/emergency medical system, had a higher risk of violence-related UPCs. After adjustment, the different pandemic stages were not significantly associated with self-harm- or violence-related UPCs. Conclusion Patient's demographic data, but not the pandemic itself, may be responsible for the changes in self-harm- and violence-related UPCs during the pandemic.
Collapse
Affiliation(s)
- Chung-Chen Yeh
- Department of Emergency Medicine, Keelung Chang Gung Memorial Hospital, Keelung City, Taiwan
- Department of Emergency Medicine, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
- College of Medicine, Chang Gung University, Taoyuan City, Taiwan
| | - Yu-Tung Lee
- Department of Psychiatry, New Taipei Municipal Tucheng Hospital, New Taipei City, Taiwan
| | - Cheng-Yu Chien
- Graduate Institute of Management, Chang Gung University, Taoyuan City, Taiwan
- Department of Emergency Medicine, Ton-Yen General Hospital, Hsinchu County, Taiwan
| | - Po-Cheng Chen
- College of Medicine, Chang Gung University, Taoyuan City, Taiwan
- Department of Physical Medicine and Rehabilitation, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung City, Taiwan
| | - Jian-Hong Chen
- College of Medicine, Chang Gung University, Taoyuan City, Taiwan
- Department of Psychiatry, Chang Gung Memorial Hospital at Keelung, Keelung City, Taiwan
- National Taiwan Sport University, Taoyuan City, Taiwan
| | - Chun-Hao Liu
- College of Medicine, Chang Gung University, Taoyuan City, Taiwan
- Department of Child & Adolescent Psychiatry, Chang Gung Memorial Hospital at Linkou, Taoyuan City, Taiwan
- Correspondence: Chun-Hao Liu, Department of Child & Adolescent Psychiatry, Chang Gung Memorial Hospital, Linkou, No. 5, Fu-Hsin St., Gueishan District, Taoyuan City, 333, Taiwan, Tel +886-3-3281200 ext 2439, Fax +886-3-3280267, Email
| |
Collapse
|
130
|
Popovici AF, Vaida S. Depression, Anxiety, Stress, and Coping Mechanism During Covid-19 Pandemic. STUDIA UNIVERSITATIS BABEȘ-BOLYAI PSYCHOLOGIA-PAEDAGOGIA 2022. [DOI: 10.24193/subbpsyped.2022.2.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
Abstract
"The current pandemic due to the COVID-19 virus has caught the entire world by surprise, on all aspects of life, from economic and work-related ones to education and online communication. Psychological health issues are not an exception to this rule, as people have been forced to either stay indoors during lockdown periods, or completely change their habits for longer periods of time. In this study, we investigated the effects of the pandemic on a sample of 241 adults, on several concepts. The study is relevant for understanding the factors that can contribute to maintaining a balance in life, especially in times of hardship. Keywords: anxiety, coping, Covid-19, depression, stress. "
Collapse
|
131
|
ALİOĞULLARI A, ÖNAL SÖNMEZ A, ERDOĞAN A. Effect of Sociodemographic Variables on Health Anxiety and Death Anxiety Levels in COVID-19 Pandemic. PSIKIYATRIDE GUNCEL YAKLASIMLAR - CURRENT APPROACHES IN PSYCHIATRY 2022. [DOI: 10.18863/pgy.1009121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
The aim of this study was to evaluate health anxiety and death anxiety levels in adult cases during the COVID-19 pandemic and to evaluate the effect of sociodemographic variables. In this online study, 334 patients over the age of 18 were included. Health Anxiety Scale, Death Anxiety Scale and Sociodemographic Data Form were used in the research. The subscales of health anxiety showed a meaningful correlation between hypersensitivity to bodily findings and negative consequences of the disease and death anxiety. Death anxiety and health anxiety were found to be higher in women. It is statistically significant that health anxiety is more common in individuals aged 20-30 years and women with primary education degrees. Death anxiety was found to be associated with low socioeconomic status and health anxiety was associated with average socioeconomic status. Death anxiety was found to be associated with two of the health anxiety subscales. Sociodemographic variables such as age, gender, educational status and socioeconomic status are thought to be effective in both death anxiety and health anxiety.
Collapse
Affiliation(s)
| | | | - Ayten ERDOĞAN
- ISTANBUL GELISIM UNIVERSITY, INSTITUTE OF SOCIAL SCIENCES
| |
Collapse
|
132
|
Mazhari S, Sabahi A, Gilanipour H, Keshvardoost S. Agreement for diagnosis of depression and anxiety between self-assessment with e-questionnaire and psychiatric telephone interview among post-COVID-19 patients. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:413. [PMID: 36824097 PMCID: PMC9942144 DOI: 10.4103/jehp.jehp_1519_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/14/2021] [Revised: 02/02/2022] [Accepted: 02/26/2022] [Indexed: 06/18/2023]
Abstract
BACKGROUND Psychological disorders, such as depression and anxiety, are common among individuals who have experienced coronavirus disease 2019 (COVID-19); however, diagnosis may be challenging and subjected to invalidity. This study aimed to examine agreement between online self-assessment and psychiatric telephone interview among COVID-19 survivors. MATERIALS AND METHODS This cross-sectional descriptive study was carried out from March to June 2021 in Afzalipour Hospital, Kerman, Iran. The inpatients confirmed with COVID-19 were contacted within the first week after discharge and were asked to fill the Hospital Anxiety and Depression scale (HADS) and socio-demography questionnaire. They were later interviewed using Hamilton Depression Rating Scale (HAM-D) and Hamilton Anxiety Rating Scale (HAM-A). Agreement between the data extracted from self-report and telephone interview was analyzed using Cohen's kappa coefficient, sensitivity, and specificity. RESULTS Out of 200 post-COVID patients, 60 participants completed all assessments. Prevalence of depression was observed to be 88% via telephone interview and 45% via self-assessment. Moreover, 83% of the participants were diagnosed with anxiety according to the telephone interview, in comparison to 31% diagnosed with anxiety using self-report questionnaire. The agreement between online self-assessment and telephone interview for depression and anxiety was not significant (κ = 0.08 and κ = 0.1, respectively). CONCLUSION The discordance between online self-report and clinician's assessment via phone contact interview indicates that using self-report evaluations is not sufficient as the single assessment tool for mental health monitoring and reflects the need to employ multiple assessments for diagnosis of psychiatric problems in pandemics.
Collapse
Affiliation(s)
- Shahrzad Mazhari
- Neuroscience Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran
- Department of Psychiatry, Shahid Beheshti Hospital, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Abdolreza Sabahi
- Department of Psychiatry, Shahid Beheshti Hospital, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Hoda Gilanipour
- Department of Psychiatry, Shahid Beheshti Hospital, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran
| | - Sareh Keshvardoost
- Medical Informatics Research Center, Institute for Future Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
133
|
Koç E, Başgöl Ş. Determining the relationship between death anxiety
with depression, anxiety, and stress levels in women
during the COVID-19 pandemic: A sample from Turkey. POPULATION MEDICINE 2022. [DOI: 10.18332/popmed/157142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
|
134
|
Pereiro AX, Leiva D, Galvañ A, Pinazo-Hernandis S, Pinazo-Clapés C, Dosil-Díaz C, Felpete A, Facal D. Psychological and functional impacts associated with restrictions in long-term care facilities (LTCF) due to the COVID-19 pandemic: A multicentre study. Aging Ment Health 2022:1-8. [PMID: 36537244 DOI: 10.1080/13607863.2022.2158306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Objectives: To analyze the impacts of the restrictions implemented in LTCF during the COVID-19 pandemic on the psychological and functional status of older adults. Design: A retrospective multicentre study is designed. We hypothesize that the negative effects of the restrictions will lead to a higher rate of decline between the measures taken immediately before and after the lockdown than between the two measures taken before the lockdown. Setting and participants: 365 participants recruited in four Spanish LTCFs in Galicia and Valencia.Methods: Impacts of restrictions on cognitive (MMSE), affective (GDS) and functional status (Barthel index, Tinetti) were analyzed by Linear Mixed Models with random intercepts, random slopes, and personal and contextual factors as covariates.Results: Social measures covaried significantly with the cognitive and functional status but did not predict longitudinal change. MMSE, Barthel index and Tinetti scores decreased significantly across pre- and post-lockdown measurement times, but only the Tinetti scores showed a specific impact of the restrictions.Conclusions: Only performance-based functional measures showed the real impact of restrictions. The findings highlight the importance of having data from several pre-lockdown measurements to enable identification of changes that can be causally attributed to the restrictions. The findings also support the resilience of older adults in mitigating the effect of the restrictions.
Collapse
Affiliation(s)
- A X Pereiro
- Department of Developmental Psychology, University of Santiago de Compostela, Galicia, Spain
| | - D Leiva
- Department of Social Psychology and Quantitative Psychology, University of Barcelona, Catalunya, Spain
| | - A Galvañ
- Department of Social Psychology, Universitat de Valencia, Valencia, Spain
| | - S Pinazo-Hernandis
- Department of Social Psychology, Universitat de Valencia, Valencia, Spain
| | - C Pinazo-Clapés
- Department of Social Psychology, Universitat de Valencia, Valencia, Spain
| | - C Dosil-Díaz
- Department of Developmental Psychology, University of Santiago de Compostela, Galicia, Spain
| | - A Felpete
- Department of Developmental Psychology, University of Santiago de Compostela, Galicia, Spain
| | - D Facal
- Department of Developmental Psychology, University of Santiago de Compostela, Galicia, Spain
| |
Collapse
|
135
|
Patrono A, Invernizzi A, Placidi D, Cagna G, Calza S, Oppini M, Rechtman E, Papazaharias DM, Reichenberg A, Lucchini RG, Memo M, Ongaro E, Rota M, Wright RO, Renzetti S, Horton MK. Impact of COVID-19-Related Social Isolation on Behavioral Outcomes in Young Adults Residing in Northern Italy. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16496. [PMID: 36554375 PMCID: PMC9779507 DOI: 10.3390/ijerph192416496] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/25/2022] [Revised: 12/02/2022] [Accepted: 12/05/2022] [Indexed: 06/17/2023]
Abstract
Social isolation affects our emotions, behavior and interactions. Worldwide, individuals experienced prolonged periods of isolation during the first wave of the COVID-19 pandemic when authorities-imposed restrictions to reduce the spread of the virus. In this study, we investigated the effects of social isolation on emotional and behavioral outcomes in young adults from Lombardy, Italy, a global hotspot of COVID-19. We leveraged baseline (pre-social isolation) and follow-up (mid- or post-isolation) data collected from young adults enrolled in the ongoing, longitudinal Public Health Impact of Metals Exposure (PHIME) study. At baseline, 167 participants completed the ASEBA questionnaires (ASR/YSR) by web link or in person; 65 completed the ASR 12-18 weeks after the onset of restrictions. Using the sign test and multiple linear regression models, we examined differences in ASR scores between baseline and follow-up adjusting for sex, age, pre-pandemic IQ and time with social restrictions (weeks). Further, we examined interactions between sex and time in social isolation. Participants completed the ASR after spending an average of 14 weeks in social isolation (range 12-18 weeks). Thought problems increased between baseline and follow-up (median difference 1.0; 1st, 3rd quartile: -1.0, 4.0; p = 0.049). Among males, a longer time in social isolation (≥14 weeks) was associated with increased rule-breaking behaviors of 2.8 points. These results suggest the social isolation related to COVID-19 adversely impacted mental health. In particular, males seem to externalize their condition. These findings might help future interventions and treatment to minimize the consequences of social isolation experience in young adults.
Collapse
Affiliation(s)
- Alessandra Patrono
- Department of Molecular and Translational Medicine, University of Brescia, 25121 Brescia, Italy
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Azzurra Invernizzi
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Donatella Placidi
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25121 Brescia, Italy
| | - Giuseppa Cagna
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25121 Brescia, Italy
| | - Stefano Calza
- Department of Molecular and Translational Medicine, University of Brescia, 25121 Brescia, Italy
| | - Manuela Oppini
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25121 Brescia, Italy
| | - Elza Rechtman
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Demetrios M. Papazaharias
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Abraham Reichenberg
- Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Roberto G. Lucchini
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25121 Brescia, Italy
- Department of Environmental Health Sciences, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL 33199, USA
| | - Maurizio Memo
- Department of Molecular and Translational Medicine, University of Brescia, 25121 Brescia, Italy
| | - Elisa Ongaro
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25121 Brescia, Italy
| | - Matteo Rota
- Department of Molecular and Translational Medicine, University of Brescia, 25121 Brescia, Italy
| | - Robert O. Wright
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| | - Stefano Renzetti
- Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, 25121 Brescia, Italy
| | - Megan K. Horton
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
| |
Collapse
|
136
|
Shindi YA, Emam MM, Farhadi H. Does Fear of COVID-19 Prolongation Lead to Future Career Anxiety Among Adolescents? The Mediating Role of Depressive Symptoms. JOURNAL OF CHILD & ADOLESCENT TRAUMA 2022; 16:1-10. [PMID: 36532139 PMCID: PMC9734943 DOI: 10.1007/s40653-022-00506-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 11/29/2022] [Indexed: 06/17/2023]
Abstract
The outbreak of the COVID-19 pandemic has influenced the lives of individuals from all different age groups. In particular, the prolongation of COVID-19 and the emergence of virus variants, such as Omicron, Delta and Alpha, have caused trauma to university students amid expectations that the associated economic, social, and psychological outcomes could affect their future careers. The current study, therefore, examines how the fear of COVID-19 prolongation may affect future career anxiety (FCA) among adolescents and to what extent depressive symptoms may determine such a relationship. Using a cross-sectional design, a survey was conducted to assess depressive symptoms, FCA, and fear of COVID-19 prolongation among 605 university students in Oman, an Arabic-speaking country located in the Gulf region. Using structural equation modeling, the results showed that there were significant standardized direct effects (unmediated) of fear of COVID-19 on depression from COVID-19 and of depression from COVID-19 on FCA. Additionally, depression from COVID-19 mediated the relationship between fear of COVID-19 and FCA. The results are discussed within the Omani context of mental health service accessibility challenges and the dominant culture of perceiving mental health services with social stigma. Supplementary Information The online version contains supplementary material available at 10.1007/s40653-022-00506-w.
Collapse
Affiliation(s)
- Yousef Abu Shindi
- Department of Psychology, College of Education, Sultan Qaboos University, P.O. Box: 32 Al-Khod, P.C.: 123, Seeb, Oman
| | - Mahmoud Mohamed Emam
- Department of Psychology, College of Education, Sultan Qaboos University, P.O. Box: 32 Al-Khod, P.C.: 123, Seeb, Oman
| | - Hadi Farhadi
- Department of Psychology, Faculty of Educational Sciences & Psychology, Islamic Azad University, Isfahan, Khorasgan Iran
| |
Collapse
|
137
|
Zhou W, Lin H, Ren Y, Lin H, Liang Y, Chen Y, Zhang S. Mental health and self-management in glaucoma patients during the COVID-19 pandemic: a cross-sectional study in China. BMC Ophthalmol 2022; 22:474. [PMID: 36474185 PMCID: PMC9727872 DOI: 10.1186/s12886-022-02695-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Accepted: 11/18/2022] [Indexed: 12/12/2022] Open
Abstract
PURPOSE To investigate mental health and self-management in glaucoma patients during the COVID-19 pandemic in China and to describe the correlation between anxiety, depression, glaucoma, and self-management. METHODS This cross-sectional study included glaucoma patients who enrolled in the case management platform and completed an online survey. The survey included the Generalized Anxiety Disorder (GAD-7), Patient Health Questionnaire (PHQ-9), and Glaucoma Self-Management Questionnaire (GSMQ). RESULTS Among 109 glaucoma patients enrolled in this study, the proportions of patients suffering from depression and anxiety during the COVID-19 pandemic were 26.6% and 20.2%, respectively. A statistical association was found between depression and self-management behaviour in these glaucoma patients (r = -0.247, P = 0.010). The self-management scores in patients less than 35 years were lower than those in patients aged 35-60 years (P = 0.046). The scores of body function promotion in men were lower than those in women (P = 0.048). Patients with primary school education and below had lower scores in the medical management of disease than those with either middle school education (P = 0.032) or community college education or higher (P = 0.022). CONCLUSION A high proportion of anxiety and depression was found in glaucoma patients during the COVID-19 pandemic. Better self-management behaviour was associated with stronger mental health regulation. It is important to help glaucoma patients improve their self-management behaviours, especially for young men with low educational levels.
Collapse
Affiliation(s)
- Wenzhe Zhou
- grid.268099.c0000 0001 0348 3990The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, 325027 Zhejiang Province China
| | - Haishuang Lin
- grid.268099.c0000 0001 0348 3990The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, 325027 Zhejiang Province China ,grid.268099.c0000 0001 0348 3990Wenzhou Medical University, Wenzhou, 325027 Zhejiang Province China
| | - Yanhan Ren
- grid.168645.80000 0001 0742 0364University of Massachusetts Medical School, Worcester, USA
| | - Hao Lin
- grid.268099.c0000 0001 0348 3990The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, 325027 Zhejiang Province China
| | - Youping Liang
- grid.268099.c0000 0001 0348 3990The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, 325027 Zhejiang Province China
| | - Yanyan Chen
- grid.268099.c0000 0001 0348 3990The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, 325027 Zhejiang Province China
| | - Shaodan Zhang
- grid.268099.c0000 0001 0348 3990The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, 325027 Zhejiang Province China
| |
Collapse
|
138
|
Min Y, Liu Z, Huang R, Li R, Jin J, Wei Z, He L, Pei Y, Li N, Su Y, Hu X, Peng X. Survival outcomes following treatment delays among patients with early-stage female cancers: a nationwide study. J Transl Med 2022; 20:560. [PMID: 36463201 PMCID: PMC9719121 DOI: 10.1186/s12967-022-03719-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Accepted: 10/21/2022] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) severely hindered the timely receipt of health care for patients with cancer, especially female patients. Depression and anxiety were more pronounced in female patients than their male counterparts with cancer during treatment wait-time intervals. Herein, investigating the impact of treatment delays on the survival outcomes of female patients with early-stage cancers can enhance the rational and precise clinical decisions of physicians. METHODS We analyzed five types of cancers in women from the Surveillance, Epidemiology, and End Results (SEER) program between Jan 2010 and Dec 2015. Univariate and multivariate Cox regression analyses were used to determine the impacts of treatment delays on the overall survival (OS) and cancer-specific survival (CSS) of the patients. RESULTS A total of 241,661 females with early-stage cancer were analyzed (12,617 cases of non-small cell lung cancer (NSCLC), 166,051 cases of infiltrating breast cancer, 31,096 cases of differentiated thyroid cancer, 23,550 cases of colorectal cancer, and 8347 cases of cervical cancer). Worse OS rates were observed in patients with treatment delays ≥ 3 months in stage I NSCLC (adjustedHazard ratio (HR) = 1.11, 95% Confidence Interval (CI): 1.01-1.23, p = 0.044) and stage I infiltrating breast cancer (adjustedHR = 1.23, 95% CI 1.11-1.37, p < 0.001). When the treatment delay intervals were analyzed as continuous variables, similar results were observed in patients with stage I NSCLC (adjustedHR = 1.04, 95% CI 1.01-1.06, p = 0.010) and in those with stage I breast cancer (adjustedHR = 1.03, 95% CI 1.00-1.06, p = 0.029). However, treatment delays did not reduce the OS of patients with differentiated thyroid cancer, cervical cancer, or colorectal cancer in the early-stage. Only intermediate treatment delays impaired the CSS of patients with cervical cancer in stage I (adjustedHR = 1.31, 95% CI 1.02-1.68, p = 0.032). CONCLUSION After adjusting for confounders, the prolonged time from diagnosis to the initiation of treatment (< 6 months) showed limited negative effects on the survival of most of the patients with early-stage female cancers. Whether our findings serve as evidence supporting the treatment deferral decisions of clinicians for patients with different cancers in resource-limited situations needs further validation.
Collapse
Affiliation(s)
- Yu Min
- grid.13291.380000 0001 0807 1581Department of Biotherapy and National Clinical Research Center for Geriatrics, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| | - Zheran Liu
- grid.13291.380000 0001 0807 1581Department of Biotherapy and National Clinical Research Center for Geriatrics, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| | - Rendong Huang
- grid.506977.a0000 0004 1757 7957School of Nursing, Hangzhou Medical College, Hangzhou, Zhejiang China
| | - Ruidan Li
- grid.13291.380000 0001 0807 1581Department of Biotherapy and National Clinical Research Center for Geriatrics, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| | - Jing Jin
- grid.13291.380000 0001 0807 1581Department of Biotherapy and National Clinical Research Center for Geriatrics, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| | - Zhigong Wei
- grid.13291.380000 0001 0807 1581Department of Biotherapy and National Clinical Research Center for Geriatrics, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| | - Ling He
- grid.13291.380000 0001 0807 1581Department of Biotherapy and National Clinical Research Center for Geriatrics, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| | - Yiyan Pei
- grid.13291.380000 0001 0807 1581Department of Biotherapy and National Clinical Research Center for Geriatrics, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| | - Ning Li
- grid.410745.30000 0004 1765 1045Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing, Jiangsu China
| | - Yongllin Su
- grid.13291.380000 0001 0807 1581Department of Rehabilitation, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| | - Xiaolin Hu
- grid.13291.380000 0001 0807 1581West China School of Nursing, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| | - Xingchen Peng
- grid.13291.380000 0001 0807 1581Department of Biotherapy and National Clinical Research Center for Geriatrics, Cancer Center, West China Hospital, Sichuan University, Chengdu, 610041 Sichuan China
| |
Collapse
|
139
|
Erdoğan S, Can AA, Abiç A, Yilmaz DV. Examination of individuals' depression, anxiety, and stress levels during the COVID-19 pandemic in Turkey. Arch Psychiatr Nurs 2022; 41:96-102. [PMID: 36428081 PMCID: PMC9307468 DOI: 10.1016/j.apnu.2022.07.021] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/04/2022] [Revised: 05/31/2022] [Accepted: 07/10/2022] [Indexed: 12/14/2022]
Abstract
PURPOSE This research was conducted to determine the depression, anxiety, and stress levels of individuals during the COVID-19 epidemic. In addition, the compatibility of the Depression-Anxiety-Stress Scale (DASS-21) scale results with the participants' feeling depressed, anxious, and stressed were examined. DESIGN AND METHODS The sample of the study consisted of 870 individuals over the age of 18 between May-August 2021. The data of the study were collected online, using the personal information form and DASS-21. RESULTS In our study, it was observed that 22.3 % of the participants were severely depressed, 19.0 % were highly anxious and 14.3 % were highly stressed. In addition, a relationship was determined between many sociodemographic variables and depression, anxiety, and stress levels. It was found that individuals who were not vaccinated, did not receive health care, and were not satisfied with health care were more depressed, anxious, and stressed. The agreement between all DASS-21 sub-dimensions and participants' feeling is poor in terms of Cohen's kappa. The agreement is poor in the anxiety sub dimension, but moderate in the other sub-dimensions in terms of Gwet's AC1. PRACTICE IMPLICATIONS It is recommended that nurses develop new care and evaluation strategies for the psychosocial field in order to protect and maintain the health of individuals during the COVID-19 pandemic process, as well as more practices promoting the COVID-19 vaccine in our country.
Collapse
Affiliation(s)
- Semra Erdoğan
- Department of Biostatistics and Medical Informatics, Mersin University Faculty of Medicine, 33343 Mersin, Turkey.
| | - Ahu Aksoy Can
- Department of Obstetrics and Gynecology Nursing, Mersin University Faculty of Nursing, 33343 Mersin, Turkey
| | - Arzu Abiç
- Department of Nursing, Faculty of Health Sciences, Eastern Mediterranean University, Famagusta, North Cyprus, via Mersin 10, Turkey.
| | - Duygu Vefikuluçay Yilmaz
- Department of Obstetrics and Gynecology Nursing, Mersin University Faculty of Nursing, 33343 Mersin, Turkey; Department of Obstetrics and Gynecology Nursing, Mersin University Faculty of Nursing, Mersin, 33343 Mersin, Turkey
| |
Collapse
|
140
|
Determining the relationship between anxiety levels, stress coping styles, and emotional eating of women in the COVID-19 pandemic. Arch Psychiatr Nurs 2022; 41:241-247. [PMID: 36428056 PMCID: PMC9385584 DOI: 10.1016/j.apnu.2022.08.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Revised: 07/22/2022] [Accepted: 08/10/2022] [Indexed: 12/14/2022]
Abstract
PURPOSE This study aimed to determine the relationship between women's anxiety levels and their style of coping with stress and emotional eating in the COVID-19 pandemic. METHODS This is a cross-sectional study and data were collected using online surveys. The sample of the study consisted of 450 women between the ages of 18-65, who have no understanding and perception problems, and who are willing to participate in the study. The data were obtained using the "Introductory Information Form", "Coronavirus Anxiety Scale", "Stress Coping Styles Scale" and "Emotional Eating Scale". Descriptive statistics, Pearson correlation analysis and multiple regression analysis were used to analyze the data. RESULTS Increased emotional eating was increased helpless approach, submissive approach and Coronavirus anxiety increase while decreasing the self-confident approach. Increased Coronavirus anxiety was increased the total scores of helpless approach, submissive approach, disinhibition, guilt, and emotional eating increased while decreasing the scores of the self-confident approach and optimistic approach. BMI, weight change in pandemic, age, self-confident approach to coping with stress and helpless approach score explained emotional eating 30.8 %. CONCLUSION Considering the emotional eating score average (11-20), women were emotional eating, and their Coronavirus anxiety score was below the average. In minimizing emotional eating in women, first of all, emotional eating awareness should be created, and it is recommended to increase their awareness of stress coping styles for the stress that causes this situation.
Collapse
|
141
|
Saucedo-Uribe E, Treviño-Lozano J, González-Mallozzi PJ, Enríquez-Navarro MK, de la Cruz-de la Cruz C, Rangel-Gómez AN, Carranza-Navarro F, Pardiñaz-García DD, Fuentes-Garza JM. Anxiety in Mexican adults throughout the COVID-19 pandemic: A cross sectional study. Arch Psychiatr Nurs 2022; 41:201-207. [PMID: 36428050 PMCID: PMC9422398 DOI: 10.1016/j.apnu.2022.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Revised: 08/11/2022] [Accepted: 08/21/2022] [Indexed: 12/14/2022]
Abstract
INTRODUCTION Perceived fear during a pandemic along with measures used to contain it can develop or intensify anxiety symptoms. In Mexico, information on the psychological impact of the COVID-19 pandemic in the general population is scarce. OBJECTIVE We examined the prevalence and factors associated with anxiety during the COVID-19 outbreak in a Mexican sample. METHOD We conducted a cross sectional study from June 15, 2020, to January 31, 2021, in a state in north-eastern Mexico, using an online survey. Beck Anxiety Inventory was used to determine the prevalence and severity of anxiety. RESULTS The overall prevalence of anxiety was 43.5 %. Categories with the highest anxiety prevalence within their groups were women (46.2 %), age group of 18-30 years (47.3 %), higher level of education (43 %), students (48.8 %) and people who weren't currently with a couple (47.3 %). Additionally, we found that people who reported clinically significant anxiety were more likely to be women, ages 18-30 years, not currently partnered and currently living with a psychiatric disorder. Moreover, patients with clinically significant anxiety were more likely to be diagnosed with a mood, anxiety, trauma and stress, or an eating disorder. We also observed that being a woman and having at least one psychiatric disorder were independent factors related to a positive anxiety screening. DISCUSSION AND CONCLUSION COVID-19 outbreak results in considerable increase in anxiety symptoms among the Mexican population. It is important to acknowledge the psychological impact of contingency situations to provide information that can allow establishing preventive and therapeutic strategies.
Collapse
Affiliation(s)
- Erasmo Saucedo-Uribe
- Department of Psychiatry, Hospital Universitario "Dr. José Eleuterio González", Av. Francisco I. Madero n/n. & Av. Gonzalitos, Mitras Centro P.C. 64460, Monterrey, Nuevo León, Mexico; Advanced Neuroscience Center UANL, Hospital Universitario "Dr. José Eleuterio González", Av. Francisco I. Madero n/n. & Av. Gonzalitos, Mitras Centro P.C. 64460, Monterrey, Nuevo León, Mexico.
| | - Jessica Treviño-Lozano
- Department of Psychiatry, Hospital Universitario "Dr. José Eleuterio González", Av. Francisco I. Madero n/n. & Av. Gonzalitos, Mitras Centro P.C. 64460, Monterrey, Nuevo León, Mexico
| | - Pedro Jehú González-Mallozzi
- Advanced Neuroscience Center UANL, Hospital Universitario "Dr. José Eleuterio González", Av. Francisco I. Madero n/n. & Av. Gonzalitos, Mitras Centro P.C. 64460, Monterrey, Nuevo León, Mexico
| | - Moisés Karika Enríquez-Navarro
- Advanced Neuroscience Center UANL, Hospital Universitario "Dr. José Eleuterio González", Av. Francisco I. Madero n/n. & Av. Gonzalitos, Mitras Centro P.C. 64460, Monterrey, Nuevo León, Mexico
| | - Carlos de la Cruz-de la Cruz
- Faculty of Medicine, Universidad Autónoma de Nuevo León, Madero y Dr. Aguirre Pequeño n/n, Mitras Centro P.C 64460, Monterrey, Nuevo León, Mexico
| | - Ada Nayeli Rangel-Gómez
- Advanced Neuroscience Center UANL, Hospital Universitario "Dr. José Eleuterio González", Av. Francisco I. Madero n/n. & Av. Gonzalitos, Mitras Centro P.C. 64460, Monterrey, Nuevo León, Mexico
| | - Farid Carranza-Navarro
- Advanced Neuroscience Center UANL, Hospital Universitario "Dr. José Eleuterio González", Av. Francisco I. Madero n/n. & Av. Gonzalitos, Mitras Centro P.C. 64460, Monterrey, Nuevo León, Mexico
| | - Dania Dalel Pardiñaz-García
- Faculty of Medicine, Universidad Autónoma de Nuevo León, Madero y Dr. Aguirre Pequeño n/n, Mitras Centro P.C 64460, Monterrey, Nuevo León, Mexico
| | - Juan Manuel Fuentes-Garza
- Faculty of Medicine, Universidad Autónoma de Nuevo León, Madero y Dr. Aguirre Pequeño n/n, Mitras Centro P.C 64460, Monterrey, Nuevo León, Mexico
| |
Collapse
|
142
|
Heinen A, Varghese S, Krayem A, Molodynski A. Understanding health anxiety in the COVID-19 pandemic. Int J Soc Psychiatry 2022; 68:1756-1763. [PMID: 34823387 DOI: 10.1177/00207640211057794] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND The COVID-19 pandemic continues to be one of the greatest public health challenges faced by the UK. Reported rates of psychiatric difficulties have increased and the mechanisms by which the pandemic has affected mental health requires investigation. AIMS The aim of the study was to understand the psychological impact of the COVID-19 pandemic on health anxiety in the general population, with a focus on Oxford Health NHS Foundation Trust, which provides specialist mental health care within Oxfordshire and Buckinghamshire. METHODS We invited participants aged 18+ across Oxfordshire and Buckinghamshire to complete an online questionnaire consisting of standardised questionnaires measuring psychological wellbeing, non-standardised questions to provide demographic information, and information about social circumstances and behaviour during the COVID-19 pandemic. Participants were then invited via email to complete a 3-month follow-up questionnaire. RESULTS About 324 participants completed the baseline survey while 199 completed the follow-up. Our analysis demonstrated that higher scores on a health anxiety inventory were related to reports of depression, anxiety, loneliness, poor quality of life and obsessive-compulsive symptoms and panic. We also identified several predictors of health anxiety such as being female, having a pre-existing physical or mental health condition, and poor tolerance of uncertainty. Lifestyle and demographic factors such as changes in financial situation, changes in employment status, having a close relative or friend with COVID-19, being able to do grocery shopping, being a key worker, and ethnicity were not found to predict health anxiety. CONCLUSIONS Awareness of the impact of health anxiety on people needs to be consistently high among healthcare professionals, especially in the continuing fallout from the COVID-19 pandemic. The relationship between health anxiety and fatigue, sleep quality, gender and co-morbid mental and physical health difficulties needs to be investigated further to determine areas of intervention.
Collapse
|
143
|
Delpino FM, da Silva CN, Jerônimo JS, Mulling ES, da Cunha LL, Weymar MK, Alt R, Caputo EL, Feter N. Prevalence of anxiety during the COVID-19 pandemic: A systematic review and meta-analysis of over 2 million people. J Affect Disord 2022; 318:272-282. [PMID: 36096370 PMCID: PMC9462928 DOI: 10.1016/j.jad.2022.09.003] [Citation(s) in RCA: 27] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 08/28/2022] [Accepted: 09/05/2022] [Indexed: 12/02/2022]
Abstract
INTRODUCTION Uncertainty, disruptions in daily routines, and concerns for the health and well-being during the COVID-19 pandemic are likely associated with increases in generalized anxiety. The present study aimed to systematically review the literature in order to identify the update prevalence of anxiety in the general population during the COVID-19 pandemic. METHODS A systematic review and meta-analysis. It included studies that assessed the prevalence of anxiety among the general population during the COVID-19 pandemic. RESULTS In total, we included 194 studies. The general prevalence of anxiety was 35.1 %, affecting approximately 851,000 participants. The prevalence in low and middle-income countries (35.1 %; 95%CI: 29.5 % to 41.0 %) was similar compared to high-income countries (34.7 %; 95%CI: 29.6 % to 40.1 %). In studies that provided the proportion of cases in each level of anxiety disorder, mild-to-moderate anxiety affected one quarter of the participants. One in ten cases with anxiety during the COVID-19 may be living with severe or extremely anxiety disorder. Most instruments estimated similar prevalence of anxiety disorders with notable difference in the prevalence estimated by the Generalized Anxiety Disorder 2-item (GAD-2), Zung Self-Rating Anxiety Scale (SAS), and State-Trait Anxiety Inventory (STAI). CONCLUSION One in three adults were living with anxiety disorder during the COVID-19 pandemic worldwide.
Collapse
Affiliation(s)
- Felipe Mendes Delpino
- Postgraduate Program in Nursing, Federal University of Pelotas, Rio Grande do Sul, Brazil.
| | | | - Jeferson Santos Jerônimo
- Postgraduate Program in Physical Education, Federal University of Pelotas, Rio Grande do Sul, Brazil
| | - Eliete Stark Mulling
- Postgraduate Program in Physical Education, Federal University of Pelotas, Rio Grande do Sul, Brazil
| | - Larissa Leal da Cunha
- Postgraduate Program in Physical Education, Federal University of Pelotas, Rio Grande do Sul, Brazil
| | - Marina Krause Weymar
- Postgraduate Program in Physical Education, Federal University of Pelotas, Rio Grande do Sul, Brazil
| | - Ricardo Alt
- Postgraduate Program in Epidemiology, Federal University of Pelotas, Rio Grande do Sul, Brazil
| | - Eduardo L. Caputo
- Postgraduate Program in Physical Education, Federal University of Pelotas, Rio Grande do Sul, Brazil
| | - Natan Feter
- Postgraduate Program in Epidemiology, Federal University of Rio Grande do Sul, Rio Grande do Sul, Brazil
| |
Collapse
|
144
|
Um-e-Kalsoom, Bibi N. Consequences of COVID-19 pandemics on the mental well-being of general population of Pakistan. MIDDLE EAST CURRENT PSYCHIATRY 2022. [PMCID: PMC9183747 DOI: 10.1186/s43045-022-00211-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Due to the COVID-19 outbreak, the epicenter is facing transcending psychiatric problems.
To assess the consequences of the COVID-19 pandemic on the mental well-being of the community of Peshawar, Khyber Pakhtunkhwa (Pakistan), a cross-sectional study design was used to find out depression and anxiety after the first wave of the pandemic. A total of 320 willing individuals participated in the study. Convenience sampling technique was used to collect the data. Demographic information along with a semi-structured interview, Hospital Anxiety and Depression Scale, Impact of Life Event Scale-Revised, and Center of Epidemiologic Studies-Depression Scale were used as measures. The participants of this study were bifurcated into affected (n = 151) and none affected (n = 169) on the basis of the impact of life event cut-off scores.
Results
Data analysis was carried out using t-test and simple linear regression analysis. Results of t-test showed that the pandemic-affected individuals (47%) reported significantly high on the depression and anxiety scores. The verdicts from simple linear regression analysis further demonstrate a history of psychiatric illness, duration of quarantine, and impact of event predicting depression (R2 = .15, p < .001). For anxiety history of psychiatric illness, the impact of life events were significant predictors (R2 = .28, p < .001) whereas the duration of quarantine, death due to COVID-19, and Impact of Event Scale predicted the center of epidemiological studies for depression (R2 .48, p < .001). The finding of the research study concluded that 47% participated individuals were affected due to the pandemic COVID-19.
Conclusions
The outcome of the study further exhibits that history of previous psychiatric illness, impact of life events, death due to COVID-19, and duration of quarantine are significant predictors of depression and anxiety.
Collapse
|
145
|
Age and sex differences in the impact of the COVID-19 pandemic on mental health and coping mechanisms in Latin American youth. J Psychiatr Res 2022; 156:372-378. [PMID: 36323139 PMCID: PMC9548050 DOI: 10.1016/j.jpsychires.2022.10.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 07/28/2022] [Accepted: 10/03/2022] [Indexed: 01/20/2023]
Abstract
BACKGROUND The COVID-19 pandemic has had negative effects on mental health. Understanding sex and age differences in the perception of stressors, the use of coping strategies, and the prevalence of depression and anxiety can lead to detecting at-risk groups. METHODS A cross-sectional online study surveyed perceived stressors, coping strategies, and the PHQ-9 and GAD-7 rating scales for symptoms of depression and anxiety. The study was open from Spring 2020 to Spring 2021 and was aimed at children, adolescents and young adults of Latin America. RESULTS The survey was completed by 3965 participants (63.8% females). The sample was divided into children (N = 621, 15.7%), adolescents (N = 1123, 28.3%) and young adults (N = 2021, 56%). Moderate to severe symptoms of depression and anxiety were found in 43.53% and 27%, respectively, being more frequent in females. Children of both sexes showed the lowest scores in rating scales. Adult females reported a higher level of stress in regards to pandemic news, having someone close diagnosed with COVID-19,the possibility of getting sick, academic delays, economic impact, and depression, while female adolescents reported a higher level of stress regarding the lockdown, losing contact with peers and anxiety. In juxtaposition, females also reported a higher frequency of positive coping strategies. A multivariate analysis confirmed the association of several variables with the presence of depression and anxiety. CONCLUSION A high prevalence of depression and anxiety was found among young people. Specific intervention programs must be created taking into account age and sex differences.
Collapse
|
146
|
Altıntaş M, Korkut S. Investigation of coronavirus anxiety, health anxiety, and anxiety symptom levels in vertigo patients during COVID-19 pandemic. Braz J Otorhinolaryngol 2022; 89:313-320. [PMID: 36504161 PMCID: PMC9684103 DOI: 10.1016/j.bjorl.2022.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 10/12/2022] [Accepted: 11/14/2022] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES The COVID-19 pandemic adversely affects the mental health of vertigo patients. Thus, this study aimed to investigate the effects of coronavirus anxiety, health anxiety, anxiety symptom levels, and demographic variables on vertigo and its severity in vertigo patients during the pandemic. METHODS This cross-sectional study was conducted from May 15 to November 15, 2021. In total, 118 patients with vertigo and 82 healthy controls participated in the study. Besides demographic and clinical data, Coronavirus Anxiety Scale (CAS), Hospital Anxiety Depression Scale-Anxiety Subscale (HAD-A), and Short Health Anxiety Inventory (SHAI) were applied to all participants. Additionally, Vertigo Symptom Scale-Short Form (VSS-SF) was administered to vertigo patients. RESULTS According to the findings, vertigo patients experienced higher levels of coronavirus anxiety, health anxiety, and anxiety disorder compared to the healthy controls. In vertigo patients, the rate of coronavirus anxiety was 20.3%, and the rate of anxiety disorder was 32.2%. Majority of the patients (80.5%) were found to have severe-level vertigo. Additionally, most of the patients (82.1%) reported that the severity of vertigo during the pandemic was higher than before the pandemic. CONCLUSIONS The COVID-19 pandemic causes serious mental health problems in vertigo patients, and pathological levels of these problems increase the discomfort of vertigo. Therefore, psychological assessment should be considered in these patients, and required psychological support and guidance services should be provided.
Collapse
Affiliation(s)
- Mustafa Altıntaş
- Antalya Training and Research Hospital, Department of Otorhinolaryngology, Antalya, Turkey,Corresponding author
| | - Süleyman Korkut
- Antalya Training and Research Hospital, Department of Psychiatry, Antalya, Turkey
| |
Collapse
|
147
|
Bayes-Marin I, Roura-Adserias M, Giné-Vázquez I, Villalobos F, Franch-Roca M, Lloret-Pineda A, Gabarrell-Pascuet A, He Y, Hafi RE, Butt FMA, Mellor-Marsá B, Alós MC, Sainz-Elías H, Ayad-Ahmed W, Aparicio L, Cabeza ME, Bobo ÓÁ, López YO, Haro JM, Cristóbal-Narváez P. Factors Associated with Depression and Anxiety Symptoms among Migrant Population in Spain during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15646. [PMID: 36497721 PMCID: PMC9736595 DOI: 10.3390/ijerph192315646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/18/2022] [Revised: 11/04/2022] [Accepted: 11/18/2022] [Indexed: 06/17/2023]
Abstract
Migrants are likely to experience mental health conditions, being one of the most vulnerable groups during the COVID-19 pandemic. The present study aims to: (1) estimate the prevalence of depressive and anxious symptoms and (2) examine the impact of risk and protective factors on this symptomatology. A sample of 129 migrants living in Spain during the COVID-19 pandemic completed an anonymous online survey, including information on sociodemographic and individual characteristics, migration, basic needs, social environment and perceived health domains. Multiple Poisson regression models analysed the effects of risk and protective factors on depression and anxiety symptoms. The prevalence of depressive and anxiety symptoms was 22.3% and 21.4%, respectively. Risk factors such as living in a rented house and previous mental health conditions were associated with higher depression symptoms, whereas unemployment was related to anxiety symptoms. Conversely, older age, better self-esteem, and higher levels of social support were associated with fewer depression symptoms. Older age and better quality of life were related to fewer anxiety symptoms. These findings addressing risk and protective factors (e.g., social support, self-esteem) help to design culturally effective programs, particularly in migrants with pre-existing mental health conditions, adjusting the organisation of mental healthcare services in difficult times in Spain.
Collapse
Affiliation(s)
- Ivet Bayes-Marin
- Departament de Medicina, Facultat de Medicina i Ciències de la Salut—Campus Clínic, Universitat de Barcelona, 08036 Barcelona, Spain
- Centre for Biomedical Research on Mental Health (CIBERSAM), 28029 Madrid, Spain
| | - Maria Roura-Adserias
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| | - Iago Giné-Vázquez
- Centre for Biomedical Research on Mental Health (CIBERSAM), 28029 Madrid, Spain
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| | - Felipe Villalobos
- Fundació Institut Universitari per a la Recerca a l’Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), 08007 Barcelona, Spain
| | - Marta Franch-Roca
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| | - Amanda Lloret-Pineda
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| | - Aina Gabarrell-Pascuet
- Centre for Biomedical Research on Mental Health (CIBERSAM), 28029 Madrid, Spain
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| | - Yuelu He
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
- Department of Sociology, University of Barcelona, 08036 Barcelona, Spain
| | - Rachid El Hafi
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| | | | - Blanca Mellor-Marsá
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| | - M. Carmen Alós
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| | - Helena Sainz-Elías
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| | - Wala Ayad-Ahmed
- Departamento de Medicina Legal, Psiquiatría y Patología, Facultad de Medicina, Universidad Complutense de Madrid, 28040 Madrid, Spain
- Fundación de Investigación Hospital Clínico San Carlos, 28040 Madrid, Spain
| | - Lola Aparicio
- Servicio de Atención a la Migración en Salud Mental (SATMI), Parc Sanitari Sant Joan de Déu, Avenida Drassanes 19, 08003 Barcelona, Spain
| | - Mercedes Espinal Cabeza
- Servicio de Atención a la Migración en Salud Mental (SATMI), Parc Sanitari Sant Joan de Déu, Avenida Drassanes 19, 08003 Barcelona, Spain
| | - Óscar Álvarez Bobo
- Servicio de Atención a la Migración en Salud Mental (SATMI), Parc Sanitari Sant Joan de Déu, Avenida Drassanes 19, 08003 Barcelona, Spain
| | - Yolanda Osorio López
- Servicio de Atención a la Migración en Salud Mental (SATMI), Parc Sanitari Sant Joan de Déu, Avenida Drassanes 19, 08003 Barcelona, Spain
| | - Josep Maria Haro
- Centre for Biomedical Research on Mental Health (CIBERSAM), 28029 Madrid, Spain
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
- Instituto de Investigación Sanitaria Princesa (IP), 28006 Madrid, Spain
| | - Paula Cristóbal-Narváez
- Centre for Biomedical Research on Mental Health (CIBERSAM), 28029 Madrid, Spain
- Research and Development Unit, Parc Sanitari Sant Joan de Déu, 08950 Barcelona, Spain
| |
Collapse
|
148
|
Maciel-Saldierna M, Elizondo-Hernández E, Cervantes-Guevara G, Cervantes-Pérez E, Cervantes-Cardona GA, Guzmán-Ramírez BG, Brancaccio-Pérez IV, Chejfec-Ciociano JM, Guzmán-Ruvalcaba MJ, Cifuentes-Andrade LR, Cueto-Valadez AE, Cueto-Valadez TA, Ibarra-Camargo SA, Mellado-Tellez MP, Barbosa-Camacho FJ, Fuentes-Orozco C, González-Ojeda A. Prevalence of Depression, Anxiety, and Stress in Junior High School Students in Guadalajara, Mexico: A Cross-Sectional Survey Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15463. [PMID: 36497537 PMCID: PMC9736080 DOI: 10.3390/ijerph192315463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 11/18/2022] [Accepted: 11/19/2022] [Indexed: 06/17/2023]
Abstract
Confinement and a lack of social interaction are associated with depressive symptoms, low self-esteem, and suicidal thoughts. We report the results of a cross-sectional survey of 1414 junior high school students. The aim was to evaluate the prevalence of depression, anxiety, and stress in Guadalajara, Mexico, during the COVID-19 pandemic. Mean scores on the validated Spanish version of the Depression, Anxiety, and Stress Scale (DASS-21) were found to be 6.15 ± 5.6 for depression, 5.8 ± 5.2 for anxiety, and 8.08 ± 5.3 for stress. Female students scored higher in all three conditions (p < 0.001). Students who had relatives infected with COVID-19 showed significantly more anxiety than those who did not (p < 0.004). Although certain demographic groups are at higher risk of manifesting depression, anxiety, and stress, the student population has also been affected by the global impact of the pandemic.
Collapse
Affiliation(s)
| | | | - Gabino Cervantes-Guevara
- Departamento de Bienestar y Desarrollo Sustentable, Centro Universitario del Norte, Universidad de Guadalajara, Colotlán 46200, Jalisco, Mexico
| | - Enrique Cervantes-Pérez
- Servicio de Medicina Interna, Hospital Civil de Guadalajara “Fray Antonio Alcalde”, Guadalajara 44280, Jalisco, Mexico
| | - Guillermo Alonso Cervantes-Cardona
- Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara 44340, Jalisco, México
| | - Bertha Georgina Guzmán-Ramírez
- Departamento de Pediatría, Hospital Civil de Guadalajara Fray Antonio Alcalde, Universidad de Guadalajara, Guadalajara 44280, Jalisco, Mexico
| | - Irma Valeria Brancaccio-Pérez
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Jonathan Matías Chejfec-Ciociano
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Mario Jesús Guzmán-Ruvalcaba
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Luis Rodrigo Cifuentes-Andrade
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Andrea Estefanía Cueto-Valadez
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Tania Abigail Cueto-Valadez
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Silvia Alejandra Ibarra-Camargo
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Mel Paul Mellado-Tellez
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Francisco José Barbosa-Camacho
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Clotilde Fuentes-Orozco
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| | - Alejandro González-Ojeda
- Unidad de Investigación Médica 02, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara 44349, Jalisco, Mexico
| |
Collapse
|
149
|
Kaur MN, Tsangaris E, Dey T, Deibert S, Kueper J, Edelen M, Pusic AL. Using patient-reported outcome measures to assess psychological well-being in a non-representative US general population during the COVID-19 pandemic. J Patient Rep Outcomes 2022; 6:116. [PMID: 36394670 PMCID: PMC9672168 DOI: 10.1186/s41687-022-00526-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Accepted: 11/02/2022] [Indexed: 11/19/2022] Open
Abstract
PURPOSE The impact of the COVID-19 pandemic on psychological well-being will likely be long-lasting. Efforts directed towards monitoring the onset and progression of distress and mental health disorders are needed to identify and prioritize at-risk populations. This study assesses the psychological well-being of the United States (US) general population during the early phase of the COVID-19 COVID-19 pandemic using validated patient-reported outcome measures (PROMs). METHODS A cross-sectional study design was used. Adults (18 years or older) who could read and write in English were recruited through Prolific in May 2020. Participants completed a REDCap survey including demographic and health-related questions and three PROMs measuring global health (PROMIS-10 Global Health), anxiety [Generalized Anxiety Disorder Scale-7 (GAD-7)], and depression [Patient Health Questionnaire-9 (PHQ-9)]. A multivariable linear regression was used to identify key factors associated with worse psychological well-being. RESULTS Mean age of the 2023 participants was 31.92 ± 11.57 years (range, 18-82). Participants were mainly White (64.7%, n = 1309), female (52.2%, n = 1057), working full-time before the pandemic (43.5%, n = 879), and completed a college, trade, or university degree (40.7%, n = 823). Most participants reported mild to severe anxiety (57.3%, n = 1158) and depression (60%, n = 1276) on the GAD-7 and PHQ-9, respectively. Patient characteristics associated with worse psychological well-being included: age ≤ 39 years, non-White, female or gender diverse, BMI ≥ 30, uninsured, annual income ≤ $49,999 (USD), lower educational attainment, and belief that COVID-19 is deadlier than flu. CONCLUSION PROMs can be used to assess and monitor psychological well-being during the COVID-19 pandemic and to inform the planning and delivery of targeted public health interventions to support at-risk populations.
Collapse
Affiliation(s)
- Manraj N. Kaur
- grid.62560.370000 0004 0378 8294Department of Surgery, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115 USA
| | - Elena Tsangaris
- grid.38142.3c000000041936754XBrigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115 USA
| | - Tanujit Dey
- grid.38142.3c000000041936754XCenter for Surgery and Public Health, Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA USA
| | - Shelby Deibert
- grid.25073.330000 0004 1936 8227McMaster University, 1280 Main Street W, Hamilton, ON L8S 4K1 Canada
| | - Janina Kueper
- grid.62560.370000 0004 0378 8294Department of Surgery, Patient-Reported Outcomes, Value and Experience (PROVE) Center, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115 USA
| | - Maria Edelen
- grid.38142.3c000000041936754XBrigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115 USA
| | - Andrea L. Pusic
- grid.38142.3c000000041936754XBrigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115 USA
| |
Collapse
|
150
|
Factors associated with depressive symptomatology during the COVID-19 pandemic in Mexico: A 2021 national survey. J Affect Disord 2022; 317:212-220. [PMID: 36041583 PMCID: PMC9419429 DOI: 10.1016/j.jad.2022.08.088] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Revised: 08/22/2022] [Accepted: 08/24/2022] [Indexed: 12/25/2022]
Abstract
BACKGROUND Previous studies have identified a set of variables associated with depression during the COVID-19 pandemic. However, the existing antecedents in Mexico, in addition to being limited to the beginning of the health emergency, made use of small and unrepresentative samples. Therefore, the aim of the present study was to identify the prevalence and factors associated with clinically significant depressive symptomatology (CSDS) in a representative Mexican sample of 2021. METHODS A secondary cross-sectional analysis of the Encuesta Nacional de Bienestar Autorreportado (ENBIARE) was conducted. For the present study, the effective sample was 30,901. Univariate and bivariate anaylses were followed by a multiple Poisson regression, which served to obtain adjusted prevalence ratios of each variable under study. RESULTS The prevalence of CSDS in the year 2021 was 15.3 %. In the multivariable analysis, the factors associated with CSDS were the number of recent stressful events, having a major functional limitation, not having social support from family or friends, being female, having suffered recent discrimination, alcohol or other drug use (by oneself or someone at home), not being married or cohabiting, living in a rural area, having had a diagnosis of COVID-19, having lost a job, living with a chronic patient, not doing physical exercise, and having a low educational level. LIMITATIONS The main limitations were the cross-sectional nature of the data, the use of self-report measures, as well as the fact that this was a secondary analysis that did not allow consideration of additional variables. CONCLUSIONS A set of personal and contextual variables were identified that can help focus prevention and intervention efforts on the phenomenon of depression.
Collapse
|